Eskandari Fatemeh, Abdullah Khatijah Lim, Zainal Nor Zuraida, Wong Li Ping
Department of Nursing Sciences, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Head of Department of Nursing Sciences, University of Malaya, Kuala Lumpur, Malaysia.
J Clin Nurs. 2017 Dec;26(23-24):4479-4488. doi: 10.1111/jocn.13778. Epub 2017 Apr 11.
To investigate the knowledge, attitude, intention and practice of nurses towards physical restraint and factors influencing these variables.
A literature review showed a lack of studies focused on the intention of nurses regarding physical restraint throughout the world. Considering that very little research on physical restraint use has been carried out in Malaysia, assessment of nurses' knowledge, attitude, intention and practice is necessary before developing a minimising programme in hospitals.
A cross-sectional study was used.
A questionnaire to assess the knowledge, attitude, intention and practice was completed by all nurses (n = 309) in twelve wards of a teaching hospital in Kuala Lumpur.
Moderate knowledge and attitude with strong intention to use physical restraint were found among the nurses. Less than half of nurses considered alternatives to physical restraint and most of them did not understand the reasons for the physical restraint. Nurses' academic qualification, read any information source during past year and nurses' work unit showed a significant association with nurses' knowledge. Multiple linear regression analysis found knowledge, attitude and intention were significantly associated with nurses' practice to use physical restraint.
This study showed some important misunderstandings of nurses about using physical restraint and strong intention regarding using physical restraint. Findings of this study serve as a supporting reason for importance of educating nurses about the use of physical restraint.
Exploring the knowledge, attitude, intention and current practice of nurses towards physical restraint is important so that an effective strategy can be formulated to minimise the use of physical restraints in hospitals.
调查护士对身体约束的知识、态度、意图和实践情况以及影响这些变量的因素。
一项文献综述表明，全球范围内缺乏针对护士对身体约束意图的研究。鉴于马来西亚对身体约束使用的研究很少，在医院制定减少身体约束的方案之前，评估护士的知识、态度、意图和实践是必要的。
采用横断面研究。
吉隆坡一家教学医院12个病房的所有护士（n = 309）完成了一份评估知识、态度、意图和实践的问卷。
护士们对身体约束的知识和态度中等，但使用身体约束的意图强烈。不到一半的护士考虑过身体约束的替代方法，而且大多数人不理解使用身体约束的原因。护士的学历、过去一年是否阅读过任何信息来源以及护士的工作单位与护士的知识有显著关联。多元线性回归分析发现，知识、态度和意图与护士使用身体约束的实践有显著关联。
本研究表明护士在使用身体约束方面存在一些重要的误解，且使用身体约束的意图强烈。本研究结果为对护士进行身体约束使用教育的重要性提供了支持依据。
探索护士对身体约束的知识、态度、意图和当前实践情况很重要，这样才能制定有效的策略以减少医院中身体约束的使用。
