Helmuth A M
Orthop Nurs. 1995 Mar-Apr;14(2):43-51.
This descriptive study explores the relationship between acute care nurses' attitudes toward older persons, their attitudes toward the use of physical restraints, and their actual use of physical restraints. Restraint use by 52 nurses employed in a hospital setting was assessed for a 1-week period. Three weeks later, two attitude questionnaires were administered to the same group of nurses. Although the incidence of restraint use was low (< 5%), results indicated that nurses with negative attitudes toward older persons were likely to favor the use of restraints with older persons (p = .006). Negative attitudes, however, were not related to the actual use of physical restraints. Factors such as the number of older persons (p = .02) and confused patients (p = .01) in the nurse's assignment, the unit census (p = .00), patient age (p = .00), mental status (p = .00), and the presence of incontinence (p = .00) were significantly related to restraint use. These findings suggest that strategies other than changing nurses' attitudes may be more effective in reducing restraint use.
这项描述性研究探讨了急症护理护士对老年人的态度、他们对使用身体约束措施的态度以及他们实际使用身体约束措施之间的关系。对一家医院的52名护士在为期1周的时间内使用约束措施的情况进行了评估。三周后，对同一组护士进行了两份态度调查问卷。尽管约束措施的使用率较低（<5%），但结果表明，对老年人持消极态度的护士更倾向于对老年人使用约束措施（p = 0.006）。然而，消极态度与实际使用身体约束措施并无关联。护士所负责护理的老年人数量（p = 0.02）、神志不清的患者数量（p = 0.01）、科室患者总数（p = 0.00）、患者年龄（p = 0.00）、精神状态（p = 0.00）以及大小便失禁情况（p = 0.00）等因素与约束措施的使用显著相关。这些发现表明，改变护士态度之外的其他策略可能在减少约束措施使用方面更有效。
