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精神科护士对身体约束的态度与实践

Psychiatric Nurses' Attitude and Practice toward Physical Restraint.

作者信息

Mahmoud Amal Sobhy

机构信息

Psychiatric Nursing and Mental Health, Faculty of Nursing, Port Said University.

出版信息

Arch Psychiatr Nurs. 2017 Feb;31(1):2-7. doi: 10.1016/j.apnu.2016.07.013. Epub 2016 Aug 2.

DOI:10.1016/j.apnu.2016.07.013
PMID:28104053
Abstract

AIM

This study was to assess psychiatric nurses' attitude and practice toward physical restraint among mentally ill patients.

METHODS

A descriptive research design was used to achieve the study objective. The present study was carried out in three specialized governmental mental hospitals and two psychiatric wards in general hospital. A convenient purposive sample of 96 nurses who were working in the previously mentioned setting was included. The tool used for data collection was the Self-Administered Structured Questionnaire; it included three parts: The first comprised items concerned with demographic characteristics of the nurses, the second comprised 10 item measuring nurses' attitudes toward physical restraint, and the third was used to assess nurses' practices regarding use of physical restraint.

RESULTS

There were insignificant differences between attitudes and practices in relation to nurses' sex, level of education, years of experience and work place. Moreover, a positive significant correlation was found between nurses' total attitude scores, and practices regarding use of physical restraint.

CONCLUSION

Psychiatric nurses have positive attitude and adequate practice toward using physical restraints as an alternative management for psychiatric patients. It is important for psychiatric nurses to acknowledge that physical restraints should be implemented as the last resort. The study recommended that it is important for psychiatric nurses to acknowledge that physical restraints should be implemented as the last resort.

摘要

目的

本研究旨在评估精神科护士对精神病患者使用身体约束的态度和做法。

方法

采用描述性研究设计来实现研究目标。本研究在三家政府专科医院和一家综合医院的两个精神科病房进行。纳入了在上述环境中工作的96名护士的便利抽样样本。用于数据收集的工具是自填式结构化问卷;它包括三个部分:第一部分包括与护士人口统计学特征有关的项目,第二部分包括10个测量护士对身体约束态度的项目,第三部分用于评估护士在使用身体约束方面的做法。

结果

在护士的性别、教育程度、工作年限和工作地点方面,态度和做法之间没有显著差异。此外,护士的总体态度得分与使用身体约束的做法之间存在显著正相关。

结论

精神科护士对使用身体约束作为精神病患者的替代管理方法持积极态度且做法得当。精神科护士认识到身体约束应作为最后手段实施非常重要。该研究建议精神科护士认识到身体约束应作为最后手段实施非常重要。

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