Turgay Ayse San, Sari Dilek, Genc Rabia Ekti
Ege University, School of Health, Izmir, Turkey.
Clin Nurse Spec. 2009 Mar-Apr;23(2):68-72. doi: 10.1097/NUR.0b013e318199125c.
This study aimed to determine intensive care nurses' reasons for the application and removal of physical restraint and physical restraint patterns used in Turkey intensive care units.
This research was conducted using descriptive and cross-sectional research design.
Data were collected in intensive care units of the 2 university hospitals and the 5 state hospitals in Izmir, West Turkey. Nurses were given the self-administered questionnaire with open-ended questions.
The study participants were 190 nurses working in intensive care units of 7 hospitals.
Most of the nurses (86.8%) reported that maintenance of the placement of medical devices was the main reason for physical restraint applications. The nurses (68.9%) reported improved mental status as the most important reason for removal of restraint from the patient. A total of 84.7% of nurses reported that wrist and ankle ties were the most common forms of physical restraint device; 84.7% used physical restraint without any verbal or written physician order.
Identifying the reasons for application and removal of physical restraints can help clinical nurse specialist tailor education, impact policy, and serve as role models to reduce the use of restraints in hospitals.
本研究旨在确定土耳其重症监护病房中重症监护护士使用和解除身体约束的原因以及所采用的身体约束方式。
本研究采用描述性横断面研究设计。
数据收集于土耳其西部伊兹密尔的2所大学医院和5所州立医院的重症监护病房。护士们收到了带有开放式问题的自填式问卷。
研究参与者为7所医院重症监护病房的190名护士。
大多数护士（86.8%）报告称，维持医疗设备的放置是使用身体约束的主要原因。护士们（68.9%）报告称，患者精神状态改善是解除约束的最重要原因。共有84.7%的护士报告称，手腕和脚踝束缚带是最常见的身体约束设备形式；84.7%的护士在没有任何口头或书面医生医嘱的情况下使用身体约束。
确定使用和解除身体约束的原因有助于临床护理专家开展针对性教育、影响政策，并起到榜样作用，以减少医院中约束措施的使用。
