Strumpf N E, Evans L K
Gerontological Nurse Clinician Program, School of Nursing, University of Pennsylvania, Philadelphia.
Nurs Res. 1988 May-Jun;37(3):132-7.
Twenty elderly restrained patients and their primary nurses (N = 18) were studied to determine (a) the subjective impact of physical restraints on the patient and (b) the nurses' beliefs about use of restraints. Despite reported cognitive impairments, patients vividly described anger, discomfort, resistance, and fear in response to the experience of physical restraint. The decision to restrain posed a conflict between protection of the patient and beliefs about professional behavior for the nursing staff. Lack of interdisciplinary collaboration in decisions to use a physical restraint was also apparent. The findings suggest that the use of physical restraint is not a benign practice and support the need for developing alternatives more consistent with professional practice and quality care.
对20名使用身体约束的老年患者及其主要护士（N = 18）进行了研究，以确定：（a）身体约束对患者的主观影响；（b）护士对使用约束措施的看法。尽管报告称患者存在认知障碍，但他们生动地描述了因身体约束经历而产生的愤怒、不适、抗拒和恐惧。实施约束的决定在保护患者与护理人员对专业行为的看法之间造成了冲突。在使用身体约束的决策中，缺乏跨学科协作的情况也很明显。研究结果表明，使用身体约束并非无害的做法，并支持开发更符合专业实践和优质护理的替代方法的必要性。
