「身體約束」為加護病房常見醫療輔助措施，約束目的在於維護病人安全及避免拔除重要醫療管路， 預防超長時間約束的重點在於辨識高危險性自拔管路病人的能力、建構化學性約束護理準則、規範約束 決策時機及有效稽核約束護理時數，因此必須規劃完善的約束醫療護理準則來避免超長時間約束所引發 之負面影響。CPOT 評估工具運用在約束照護並建立止痛、鎮靜藥物劑量使用準則，有助於避免低估病人 疼痛程度，對於提升意識不清或插管病人疼痛問題之觀察能力，確實有極大幫助;另一方面，醫療團隊合 作對約束決策評估作具體改善，適時稽核約束護理時數，在醫護團隊共識下，研擬出更合宜的約束照護 準則，也使得專案推行後，有效降低病人約束的時間，並提供更舒適的醫療照護品質。

The proportion of patients who were restricted over 24 hours in 2013, in Taiwan, in Shin Kong Wu Ho-Su Memorial Hospital was 69.8%, which was higher than that of Taiwan Clinical Performance Indicators (other medical centers) (52.7%). The main reason is because health-care providers can make work easier by overuse of physical restraint. However, it might cause more complications during hospitalization. Therefore, we strengthened the knowledge about chemical restraint by using critical-care pain observation tool to our patients and building the healthcare team. After these efforts, the proportion of patients who were restricted over 24 hours was reduced by 20.8%. In addition to reducing ratio of prolonged physical restraint, this project promotes the quality in healthcare.