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葡萄牙养老院护士对身体约束使用态度的横断面研究。

A cross-sectional study on nurses' attitudes towards physical restraints use in nursing homes in Portugal.

机构信息

Escola Superior de Enfermagem de Lisboa (ESEL), Lisbon, Portugal.

Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.

出版信息

Nurs Open. 2021 Jul;8(4):1571-1577. doi: 10.1002/nop2.769. Epub 2021 Jan 13.

Abstract

AIM

To explore nurses' opinions regarding restraint measures and attitudes towards physical restraints use in nursing homes.

DESIGN

Cross-sectional study.

METHODS

Nursing staff of 33 Portuguese nursing homes was asked to complete the Portuguese version of the Maastricht Attitude Questionnaire (MAQ), an instrument on attitudes regarding physical restraints (reasons, consequences and appropriateness of restraint use) and opinions about restraint measures (restrictiveness and discomfort). Descriptive statistics and bivariate analysis were performed.

RESULTS

Data from 186 nurses were included in the analysis. Overall, nurses expressed neutral to moderately positive attitudes towards physical restraints usage. Nurses with longer professional experience reported a more positive attitude regarding the appropriateness of restraint use in their clinical practice. Wrist and ankle restraints were the measures that nurses reported feeling most uncomfortable using, and the most restrictive. Bilateral bedrails were globally assessed as a slightly restrictive measure and nurses reported not feeling uncomfortable using them.

摘要

目的

探讨护士对养老院约束措施的意见以及对身体约束使用的态度。

设计

横断面研究。

方法

要求 33 家葡萄牙养老院的护理人员完成马斯特里赫特态度问卷(MAQ)的葡萄牙语版本,该问卷是关于身体约束的态度的工具(使用约束的原因、后果和适当性)以及对约束措施的意见(限制和不适)。进行描述性统计和双变量分析。

结果

分析纳入了 186 名护士的数据。总体而言,护士对身体约束的使用持中立到中等积极的态度。专业经验较长的护士报告说,他们在临床实践中对约束使用的适当性持更积极的态度。手腕和脚踝约束是护士报告使用时最不舒服和最具限制性的措施。双侧床栏被总体评估为一种略有限制的措施,护士报告使用它们时没有不适感。

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