摘要目的:探讨干扰治疗计划在急诊重症监护室（EICU）患者身体约束中的应用效果。方法:采用便利抽样法，选择2020年4月—2022年4月宁波市医疗中心李惠利医院EICU收治的98例患者为研究对象，按照随机数字表法将其分为两组，每组各49例患者。对照组给予基于医护人员经验的身体约束管理，观察组根据干扰治疗计划进行身体约束管理。比较护士干预前后的身体约束知信行水平，比较两组患者身体约束情况（总约束时间、采取身体约束比例）、非计划拔管发生情况以及约束相关并发症发生情况。结果:干预后护士对身体约束的知识、态度、行为评分及总分均高于干预前，差异有统计学意义（ P<0.05）。观察组患者身体约束率为26.53%（13/49），对照组为46.94%（23/49），观察组患者身体约束率低于对照组（ P<0.05），观察组患者总约束时间短于对照组（ P<0.05）。两组患者非计划拔管率比较，差异无统计学意义（ P>0.05）。观察组患者的约束相关并发症发生率低于对照组（ P<0.05）。 结论:干扰治疗计划可提高护士的身体约束知信行水平，减少患者身体约束比例和约束相关并发症发生率，缩短患者的身体约束时间，且不增加患者非计划拔管率。

abstractsObjective:To explore the application effectiveness of the treatment interference protocol (TIP) in managing physical restraints for patients in the Emergency Intensive Care Unit (EICU) .Methods:Using a convenience sampling method, 98 patients admitted to the EICU of Lihuili Hospital, Ningbo Medical Center, from April 2020 to April 2022 were selected as the study subjects. They were randomly divided into two groups using a random number table, with 49 patients in each group. The control group received physical restraint management based on the experience of medical staff, while the observation group received management based on the TIP. The levels of knowledge, attitude, and practice regarding physical restraints among nurses before and after the intervention were compared. Additionally, the physical restraint conditions (total restraint time and proportion of patients subjected to physical restraints), incidence of unplanned extubation, and occurrence of restraint-related complications were compared between the two groups.Results:After the intervention, nurses demonstrated statistically significant improvements in knowledge, attitude, practice, and overall scores related to physical restraints ( P<0.05). The physical restraint rate in the observation group was 26.53% (13/49), significantly lower than the control group at 46.94% (23/49) ( P<0.05). The total duration of physical restraints in the observation group was also shorter than that in the control group ( P<0.05). There was no significant difference in the incidence of unplanned extubation between the two groups ( P>0.05). However, the incidence of restraint-related complications in the observation group was lower than that in the control group ( P<0.05) . Conclusions:TIP effectively improves nurses' knowledge, attitude, practice levels regarding physical restraints, reduces the proportion of patients subjected to physical restraints, decreases the occurrence of restraint-related complications, and shortens the duration of physical restraints without increasing the risk of unplanned extubation.