Ortiz-Pruitt J
Crit Care Nurs Clin North Am. 1995 Jun;7(2):363-73.
Physical restraints modify the behavior of an individual through the limitation of movement. Despite awareness of physical, psychological, and ethical problems associated with the use of physical restraints on elderly patients, the practice remains widespread in critical care units and appears to be an accepted standard of care. Legal and ethical issues as well as personal dilemmas complicate and influence the decision to use restraints. This article reviews the current literature about physical restraints and presents suggestions for practice and research regarding their use in critical care.
身体约束通过限制行动来改变个体的行为。尽管人们已经意识到对老年患者使用身体约束存在身体、心理和伦理问题,但这种做法在重症监护病房中仍然普遍存在,并且似乎是一种被认可的护理标准。法律和伦理问题以及个人困境使使用约束的决策变得复杂并产生影响。本文回顾了关于身体约束的当前文献,并就其在重症监护中的使用提出了实践和研究建议。