Department of Psychiatry, Tai Po Hospital, Tai Po, New Territories, Hong Kong, China.
School of Nursing, the Hong Kong Polytechnic University, Kowloon, Hung Hom, Hong Kong, China.
Int J Environ Res Public Health. 2021 Jun 23;18(13):6747. doi: 10.3390/ijerph18136747.
There is a considerable amount of literature describing how nurses' knowledge contributes to their attitudes and practices related to patient physical restraint. However, whether or not there have been any improvements in nurses' knowledge levels, attitudes or practices regarding physical restraint during the past few years is unknown. A survey was conducted on nurses ( 133) in one psychiatric hospital in Hong Kong ( 98, response rate = 74%). The data were analyzed using independent t-tests, ANOVA, a Mann-Whitney U test, a Kruskal-Wallis test and Spearman's rho. In general, nurses had good restraint-related knowledge with satisfactory attitudes and practices, although their knowledge levels, attitudes, and practices regarding restraint varied. Having a higher age, seniority, and education level contributed to a higher restraint-related knowledge level. Male nurses demonstrated more desirable practices (i.e., care of restrained patients), while nurses with a higher education level were more likely to avoid restraint. Nurses' restraint-related knowledge positively correlated with restraint practices. Although nurses' knowledge levels, attitudes, and practices regarding restraint were found to be satisfactory, more training efforts should focus on young nurses working in psychiatric settings with less work experience and lower education levels. As some nurses seem to favor the use of restraint with limited reflection, more studies are needed to verify nurses' emotions and how their emotions influence the use of restrictive practices.
有相当数量的文献描述了护士的知识如何影响他们与患者身体约束相关的态度和实践。然而，在过去几年中，护士在身体约束方面的知识水平、态度或实践是否有所改善尚不清楚。对香港一家精神病院的护士（133 名，应答率=74%）进行了一项调查。使用独立 t 检验、方差分析、Mann-Whitney U 检验、Kruskal-Wallis 检验和 Spearman's rho 对数据进行了分析。总的来说，护士在与约束相关的知识方面表现良好，态度和实践也令人满意，尽管他们对约束的知识水平、态度和实践存在差异。较高的年龄、资历和教育水平有助于提高与约束相关的知识水平。男护士表现出更理想的实践（即护理被约束的患者），而教育水平较高的护士更有可能避免约束。护士与约束相关的知识与约束实践呈正相关。尽管发现护士在约束方面的知识水平、态度和实践令人满意，但仍需要更多的培训努力，重点关注在精神科工作经验较少、教育水平较低的年轻护士。由于一些护士似乎倾向于在有限的反思下使用约束，因此需要更多的研究来验证护士的情绪以及他们的情绪如何影响限制实践的使用。
