Application of Body Restraint Reduction Program in Clinical Treatment of Severe Neurological Patients
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Keywords

Neurology department
Severe patients
Body restraint
Reduction program
Clinical application

DOI

10.26689/jcnr.v9i7.11419

Submitted : 2025-07-07
Accepted : 2025-07-22
Published : 2025-08-06

Abstract

Objective: To analyze the clinical application and effects of the body restraint reduction program for severe neurological patients. Methods: A total of 206 patients admitted to the neurology department of the hospital from January 2022 to May 2025 were selected as the research subjects. Among them, 102 patients from January 2022 to May 2025 were assigned to the observation group, and 104 patients during the same period served as the control group. In practice, the control group received conventional body restraint, while the observation group adopted the reduction program. The incidence of unplanned extubation and restraint-related complications were compared between the two groups. Results: The body restraint rate and complication rate in the observation group were significantly lower (P < 0.05). After nurse training, their knowledge mastery and operational ability were significantly higher than before training (P < 0.01). Conclusion: The body restraint reduction program for severe neurological patients can effectively reduce the restraint rate and complication incidence, while helping improve nurses’ restraint management capabilities, serving as an effective means to enhance overall nursing quality.

References

Xu Y, Chen X, Lin H, et al., 2025, Application Effect of PDCA Cycle in Body Restraint Management of Inpatients Under the Group Standard. China Health Standard Management, 16(02): 1–4.

Zhong H, Zhu X, Xiao M, et al., 2024, Research Progress on Body Restraint Assessment Programs Based on the “Body Restraint Reduction Initiative”. Health Medicine Research and Practice, 21(S2): 319–324.

Zhang J, Wu M, Bai J, et al., 2024, Development of an Improved Restraint Glove and Its Application in Neurosurgical Patients. Journal of Bengbu Medical College, 49(12): 1656–1660.

Zhang Y, Ji C, Xu B, 2023, Formulation and Application of Neurosurgical Restraint Reduction Strategy Based on Restraint Decision Wheel. Chinese General Practice Nursing, 21(35): 4981–4983.

Yuan Y, Cheng W, 2023, Impact of Physical Restraint on Severe Stroke Patients. Chinese Nursing Research, 37(06): 1110–1113.

Liao C, Cui P, Ma X, et al., 2023, Construction and Application of Physical Restraint Assessment Program for ICU Patients in Cancer Hospital. Chinese Nursing Research, 37(05): 819–825.

Sun Q, 2022, Construction and Application of Physical Restraint Management Program for Critically Ill Postoperative Patients Based on Fault Tree Theory, thesis, Shandong University. DOI:10.27272/d.cnki.gshdu.2022.003332.

Ge J, Bai H, Wang D, et al., 2022, Comparison of Application Effects of Two Restraint Assessment Tools in Physical Restraint of Neurosurgical Intensive Care Unit Patients. Chinese Nursing Research, 36(07): 1293–1296.

Lu Z, Yuan A, Tian J, et al., 2022, Impact of FOCUS-PDCA on Standardization Rate of Physical Restraint for ICU Patients. Today’s Nurse (Morning Edition), 29(04): 128–131. DOI:10.19791/j.cnki.1006-6411.2022.10.038.

Xu Y, Wang M, Yun Y, 2022, Application of Physical Restraint Intervention Based on Quantitative Assessment Strategy in Consciousness-Disordered Patients in ICU. Chinese Nursing Research, 36(01): 49–54.

Liao C, Wang J, Cui P, et al., 2021, Development and Psychometric Testing of Physical Restraint Assessment Scale for ICU Patients in Cancer Hospital. Evidence-Based Nursing, 7(17): 2363–2366.

Gong Y, 2021, Application of Restraint Reduction Program in Preventing Unplanned Extubation of Intubated Patients in ICU. Chinese General Practice Nursing, 19(26): 3669–3673.

Zhang R, Zang X, Guo H, 2021, Application of Physical Restraint Reduction Nursing Program in Intubated Patients in Intensive Care Medicine Department. Chinese General Practice Nursing, 19(06): 767–770.

Wu J, Qian H, Hu Y, et al., 2020, Summary of Best Evidence for Reasonable Physical Restraint of Adult Intubated Patients in ICU. Evidence-Based Nursing, 6(08): 750–755.

Xu N, Yang Z, Zhan Y, et al., 2020, Systematic Review of Physical Restraint Management in Neurosurgery. Chinese Journal of Clinical Neurosurgery, 25(02): 113–117. DOI:10.13798/j.issn.1009-153X.2020.02.019.