Öznur Gürlek Kısacık is an assistant professor, Nursing Department, Faculty of Health Science, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey.
Münevver Sönmez is an assistant professor, Nursing Department, Faculty of Health Science, Bülent Ecevit Health Sciences University, Zonguldak, Turkey.
Crit Care Nurse. 2020 Jun 1;40(3):37-47. doi: 10.4037/ccn2020856.
Various factors affect the use of physical restraints in the intensive care unit, with nurses' knowledge and attitudes being the strongest determinants.
To determine Turkish intensive care unit nurses' knowledge, attitudes, and practices regarding physical restraints and factors influencing them.
This cross-sectional, correlational study was conducted in the intensive care units of state and university hospitals. A total of 191 nurses provided information on their sociodemographic and professional characteristics and completed a questionnaire on their knowledge, attitudes, and practices regarding physical restraints.
Statistically significant differences were found between average knowledge scores according to type of intensive care unit, weekly working hours, work shift, and frequency of using physical restraints, with the highest scores found in nurses who worked in the surgical unit, worked 40 hours a week, worked only during the day, and used physical restraints every day. Significant differences were found between average attitude scores according to type of intensive care unit, with the highest scores found in nurses who worked in the cardiology unit. Significant differences were found between average practice scores according to level of education and use of physical restraints without a physician's order, with the highest scores found in nurses with undergraduate and postgraduate degrees and those who did not use physical restraints without a physician's order.
This study revealed inadequate knowledge about physical restraints and some unsafe practices among participants. Evidence-based guidelines and laws regarding physical restraints are needed, as well as regular training programs for involved personnel.
多种因素会影响重症监护病房（ICU）中身体约束的使用，而护士的知识和态度是最强的决定因素。
旨在确定土耳其 ICU 护士在身体约束方面的知识、态度和实践情况，以及影响这些因素的相关因素。
这是一项横断面相关性研究，在州立医院和大学医院的 ICU 中进行。共有 191 名护士提供了他们的社会人口统计学和专业特征信息，并完成了一份关于他们在身体约束方面的知识、态度和实践情况的问卷。
根据 ICU 类型、每周工作时间、工作班次和身体约束使用频率，平均知识得分存在统计学显著差异，在外科病房工作、每周工作 40 小时、仅在白天工作和每天使用身体约束的护士中得分最高。根据 ICU 类型，平均态度得分存在统计学显著差异，在心脏病科病房工作的护士得分最高。根据教育程度和在没有医生医嘱的情况下使用身体约束的情况，平均实践得分存在统计学显著差异，在具有本科和研究生学历的护士以及在没有医生医嘱的情况下不使用身体约束的护士中得分最高。
本研究显示参与者对身体约束的知识不足，存在一些不安全的实践。需要制定有关身体约束的循证指南和法规，并为相关人员提供定期的培训计划。
