Wang Jun, Liu Weichu, Zhao Qinghua, Xiao Mingzhao, Peng Daomei
Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Department of Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Psychol Res Behav Manag. 2021 Mar 2;14:275-287. doi: 10.2147/PRBM.S293759. eCollection 2021.
Understanding the factors that affect nursing staffs' intention and practice of physical restraint (PR) on older adults help develop restraint-reduction programs. This study aimed to identify the relationship between the Theory of Planned Behavior (TPB) constructs and nursing staffs' practice to use PR in long-term care (LTC) facilities.
A cross-sectional survey was conducted via convenience sampling among 316 nursing staff in six Chinese LTC facilities. PR-TPB questionnaire and the practice subscale of the Chinese version of the Staff Knowledge, Attitudes and Practices Questionnaire regarding PR were used to collect the data. Structural equation modeling (SEM) was used to examine the relationship between variables.
The SEM fit well with the data (χ/ =1.639, = 0.045, CFI= 0.955, GFI=0.945). Attitude (=0.536, <0.001) and perceived behavioral control (PBC) (=0.139, <0.05) predicted intention ( =0.359). PBC was a significant predictor of practice, with accounting for 0.151.
TPB provided useful insight into better understanding nursing staffs' PR practices, although it did not support all the TPB principles significantly. Prospective studies may be conducted to design and implement multi-component interventions based on TPB and explore the effectiveness of PR reduction in LTC facilities in-depth.
了解影响护理人员对老年人实施身体约束（PR）的意愿和行为的因素，有助于制定减少约束的方案。本研究旨在确定计划行为理论（TPB）各构成要素与护理人员在长期护理（LTC）机构中使用PR行为之间的关系。
通过便利抽样对6家中国LTC机构的316名护理人员进行横断面调查。使用PR-TPB问卷以及中文版《员工关于PR的知识、态度和行为问卷》的行为子量表收集数据。采用结构方程模型（SEM）检验变量之间的关系。
SEM与数据拟合良好（χ²/df = 1.639，RMSEA = 0.045，CFI = 0.955，GFI = 0.945）。态度（β = 0.536，P < 0.001）和感知行为控制（PBC）（β = 0.139，P < 0.05）可预测意愿（β = 0.359）。PBC是行为的显著预测因素，β为0.151。
TPB为更好地理解护理人员的PR行为提供了有用的见解，尽管它并未显著支持TPB的所有原则。可开展前瞻性研究，以设计并实施基于TPB的多成分干预措施，并深入探索LTC机构中减少PR的有效性。
