de Bruijn Wendy, Daams Joost G, van Hunnik Florian J G, Arends Arend J, Boelens A M, Bosnak Ellen M, Meerveld Julie, Roelands Ben, van Munster Barbara C, Verwey Bas, Figee Martijn, de Rooij Sophia E, Mocking Roel J T
Department of Psychiatry, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Medical Library, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Front Psychiatry. 2020 Feb 28;10:921. doi: 10.3389/fpsyt.2019.00921. eCollection 2019.
Physical and pharmacological restraints, defined as all measures limiting a person in his or her freedom, are extensively used to handle unsafe or problematic behavior in hospital care. There are increasing concerns as to the extent with which these restraints are being used in hospitals, and whether their benefits outweigh their potential harm. There is currently no comprehensive literature overview on the beneficial and/or adverse effects of the use of physical and pharmacological restraints in the hospital setting.
A systematic review of the existing literature will be performed on the beneficial and/or adverse effects of physical and pharmacological restraints in the hospital setting. Relevant databases will be systematically searched. A dedicated search strategy was composed. A visualization of similarities (VOS) analysis was used to further specify the search. Observational studies, and if available, randomized controlled trials reporting on beneficial and/or adverse effects of physical and/or pharmacological restraints in the general hospital setting will be included. Data from included articles will be extracted and analyzed. If the data is suitable for quantitative analysis, meta-analysis will be applied.
This review will provide data on the beneficial and/or adverse effects of the use of physical and pharmacological restraints in hospital care. With this review we aim to guide health professionals by providing a critique of the available evidence regarding their choice to either apply or withhold from using restraints. A limitation of the current review will be that we will not specifically address ethical aspects of restraint use. Nevertheless, the outcomes of our systematic review can be used in the composition of a multidisciplinary guideline. Furthermore, our systematic review might determine knowledge gaps in the evidence, and recommendations on how to target these gaps with future research.
PROSPERO registration number: CRD42019116186.
身体约束和药物约束被定义为限制个人自由的所有措施，在医院护理中被广泛用于处理不安全或有问题的行为。人们越来越关注这些约束措施在医院中的使用程度，以及其益处是否超过潜在危害。目前尚无关于在医院环境中使用身体约束和药物约束的有益和/或不良影响的全面文献综述。
将对现有文献进行系统综述，以探讨身体约束和药物约束在医院环境中的有益和/或不良影响。将系统检索相关数据库。制定了专门的检索策略。使用相似性可视化（VOS）分析进一步明确检索范围。将纳入观察性研究，如有随机对照试验，也将纳入报告在综合医院环境中身体和/或药物约束的有益和/或不良影响的研究。将提取并分析纳入文章的数据。如果数据适合进行定量分析，将应用荟萃分析。
本综述将提供关于在医院护理中使用身体约束和药物约束的有益和/或不良影响的数据。通过本综述，我们旨在通过对现有证据进行批判性分析，为卫生专业人员在选择使用或不使用约束措施方面提供指导。当前综述的一个局限性在于我们不会专门探讨约束使用的伦理方面。尽管如此，我们系统综述的结果可用于制定多学科指南。此外，我们的系统综述可能会确定证据中的知识空白，以及关于如何通过未来研究填补这些空白的建议。
PROSPERO注册号：CRD42019116186。
