Effect of constraints for critically-ill patients using the Restraint Decision Wheel:a meta-analysis
Miao Xiao
Wang Shaomin
Dong Yue
Luo Haiyan
Zhou Xuelian
Abstract：Objective To systematically review the effect of Restraint Decision Wheel in the implementation of restraints in critically ill patients.Methods Pubmed,Embase,Web of Science,CINAHL,Cochrane Library,China National Knowledge Infrastructure,China Biomedical Literature Database,VIP,and Wanfang databases were searched to collect literature published before December 2024 on the implementation of restraints in critically ill patients based on the Restraint Decision Wheel.RevMan 5.3 software was used for meta-analysis.Results Nine articles were finally included,including 7 Chinese articles and 2 English articles.The results of meta-analysis showed that the implementation of restraints in critically ill patients based on the Restraint Decision Wheel could effectively reduce the unplanned extubation rate of patients[OR=0.34,95%CI(0.15,0.74),P<0.01],reduce the incidence of complications[OR=0.30,95%CI(0.21,0.41),P<0.01],and shorten the restraint time[OR=-12.33,95%CI(-13.98,-8.19),P<0.01].Conclusion For critically ill inpatients who need restraint,the restraint strategy based on the Restraint Decision Wheel is superior to conventional restraint care,in that it can effectively reduce the unplanned extubation rate of patients,reduce the incidence of complications,and shorten the restraint time.Clinical medical staff can use the Restraint Decision Wheel to implement restraints in critically ill patients.
Keywords：Restraint Decision WheelCritical illnessConstraintMeta-analysis
Publication Date：2024-11-20
Online Publishing Date：2025-08-19(First online date of this platform, not the publication date of the document)
Pages：7( 61-67 )