College of Nursing, New York University, New York, NY, USA.
Geriatr Nurs. 2011 Jan-Feb;32(1):39-45. doi: 10.1016/j.gerinurse.2010.10.010. Epub 2010 Dec 13.
Physical restraint use among hospitalized older adults remains an important issue. Despite evidence indicating that restraints can be harmful and strict regulatory rules restricting the use of restraints, healthcare practitioners continue to utilize physical restraints, often in the name of safety. The purpose of this study was to examine the perceptions regarding physical restraint use among registered nurses (RNs) and nursing assistants (NAs). The Perceptions of Restraint Use Questionnaire (PRUQ) was used to evaluate nursing staff perceptions. The overall mean score for the PRUQ was 2.8 out of a possible 5, indicating a neutral perception. Both RNs and NAs identified treatment interference as the most important reason for restraining a patient and substituting of restraints for staff as the least important reason. This study revealed an overall less favorable perception of restraints than previous studies. NAs favored physical restraint for fall prevention more than RNs. It was also noted that protection from physical abuse and patient combativeness was the most salient reason cited by the emergency department staff.
身体约束在住院老年患者中仍然是一个重要问题。尽管有证据表明约束可能有害，并且有严格的监管规则限制约束的使用，但医疗保健从业者仍继续使用身体约束，通常以安全为名。本研究旨在调查注册护士（RNs）和护理助理（NAs）对身体约束使用的看法。使用约束使用感知问卷（PRUQ）评估护理人员的看法。PRUQ 的总平均得分为 2.8（满分 5 分），表明存在中性看法。RNs 和 NAs 都将治疗干扰确定为约束患者的最重要原因，而将约束代替员工列为最不重要的原因。这项研究显示出对约束的整体看法不如以前的研究那么有利。NAs 比 RNs 更倾向于使用身体约束来预防跌倒。还注意到，防止身体虐待和患者好斗是急诊科工作人员提到的最突出的原因。
