Abstract: Objective To explore the effect of centralized management on reducing physical restraint in neurosurgical patients. Methods Neurosurgical patients with physical restraint were selected by purposive sampling method to implement the strategy of cluster management. Before and after comparisons were made in terms of the patients’ physical restraint rate, restraint-related complications, and unplanned extubation rate, and the nurses’ knowledge, attitude, and practice of physical restraint. Results There were significant differences in the rates of physical restraint, restraint-related complications, and unplanned extubation in neurosurgical patients and the scores of knowledge, attitude, and practice of physical restraint in nurses before and after the implementation of centralized management strategy of physical restraint （P<0.01）. Conclusion The strategy of centralized management of physical restraint can reduce the incidence rate of physical restraint, restraint-related complications, and unplanned extubation in neurosurgical inpatients, improve nurses’ knowledge, attitude, and practice of physical restraint, ensure nursing safety, and increase the quality of nursing care.

Key words: Centralized management, Physical restraint reduction action, Restraint decision wheel, Neurosurgery, Physical restraint minimization, Unplanned extubation