Expert consensus on perioperative protective restraint in interventional therapy for severe stroke patients

HAN Xiao-ling; HE Jin-ai; GENG Bing-bing; WANG Xue-mei; FENG Ying-pu; YE Qiao; FENG Jian-yu

doi:10.16460/j.issn1008-9969.2024.10.037

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Journal of Nursing ›› 2024, Vol. 31 ›› Issue (10) : 37-42. DOI: 10.16460/j.issn1008-9969.2024.10.037

Expert consensus on perioperative protective restraint in interventional therapy for severe stroke patients

HAN Xiao-ling¹, HE Jin-ai², GENG Bing-bing¹, WANG Xue-mei³, FENG Ying-pu⁴, YE Qiao¹, FENG Jian-yu⁵

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Abstract

Objective To form a written document of "Expert consensus on perioperative protective restraint in interventional therapy for severe stroke patients", to provide clinical guidance for the implementation and removal of perioperative protective restraints in interventional therapy for severe stroke patients. Methods By conducting literature review and interviews, we extracted recommendations and research findings on the implementation and removal of protective restraints for patients undergoing interventional therapy in the perioperative period of severe ischemic stroke to form a consensus draft. Following two rounds of expert consultation, we created the final consensus after adjusting , modifying, and refining the draft in accordance with expert opinions. Results The effective recovery rate of the two-round questionnaire was 96% and 91%, respectively. The authority coefficient of the two rounds of correspondence consulting was 0.896 and 0.933, respectively. The mean value of importance assignment of each indicator was > 3.5, and the coefficient of variation was < 0.25. The Kendall harmony coefficient of experts was 0.160 and 0.299 respectively. The final consensus consisted of five parts, namely, the key point of restraint implementation evaluation, restraint prevention and alternative measures, the selection of restraint tools and their duration, the key point of restraint implementation, and the key point of restraint removal. Conclusion This consensus provides guidance for and standardize the implementation and removal of protective restraints in severe stroke patients undergoing interventional therapy.

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protective restraint / severe stroke / interventional therapy / perioperative period / expert consensus

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HAN Xiao-ling, HE Jin-ai, GENG Bing-bing, WANG Xue-mei, FENG Ying-pu, YE Qiao, FENG Jian-yu. Expert consensus on perioperative protective restraint in interventional therapy for severe stroke patients[J]. Journal of Nursing. 2024, 31(10): 37-42 https://doi.org/10.16460/j.issn1008-9969.2024.10.037

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