Cui Nianqi, Long Mengyun, Zhou Shiqun, Zhang Tian, He Chengyu, Gan Xiuni
J Contin Educ Nurs. 2019 Mar 1;50(3):121-126. doi: 10.3928/00220124-20190218-07.
This multicenter cross-sectional study sought to determine the knowledge, attitudes, and practices regarding the use of physical restraints by Chinese nurses in intensive care units (ICUs) of tertiary hospitals.
A scale technique was used to measure the knowledge, attitudes, and practices of 383 RNs from eight tertiary hospitals in Chongqing, China.
A total of 383 valid questionnaires were returned, for a response rate of 89.49%. Approximately 8.1% of the nurses were male, 67.1% had a bachelor's degree or above, and 55.09% were ICU specialists. The average age was 28.62 years (SD = 4.56). The mean scores were 74.33 of 111 (SD = 9.552), 24.41 of 40 (SD = 4.872), and 65.66 of 130 (SD = 20.880) regarding knowledge, attitudes, and nursing practices, respectively. For the attitude scale, the scores of nurses who were certified ICU specialists and had extensive working experience were higher than those with less experience; the difference was statistically significant (p < .05).
Results indicated that nurses employed in the ICUs of tertiary hospitals in Chongqing, China, have relatively insufficient knowledge, comparatively incorrect attitudes, and unreasonable means of practicing physical restraint. Continuing education should focus strongly on the relationship between physical restraint and unplanned extubation, and guidelines on physical restraint urgently need to be developed. [J Contin Educ Nurs. 2019;50(3):121-126.].
本多中心横断面研究旨在确定中国三级医院重症监护病房（ICU）护士在使用身体约束方面的知识、态度和行为。
采用量表技术对来自中国重庆八家三级医院的383名注册护士的知识、态度和行为进行测量。
共回收有效问卷383份，有效回收率为89.49%。约8.1%的护士为男性，67.1%拥有本科及以上学历，55.09%为ICU专科护士。平均年龄为28.62岁（标准差=4.56）。在知识、态度和护理行为方面的平均得分分别为111分中的74.33分（标准差=9.552）、40分中的24.41分（标准差=4.872）和130分中的65.66分（标准差=20.880）。在态度量表方面，获得ICU专科认证且工作经验丰富的护士得分高于经验较少的护士；差异具有统计学意义（p<0.05）。
结果表明，中国重庆三级医院ICU的护士在身体约束方面的知识相对不足，态度相对不正确，实施身体约束的方式不合理。继续教育应重点关注身体约束与非计划拔管之间的关系，迫切需要制定身体约束指南。[《继续护理学教育杂志》。2019；50(3)：121-126。]
