A Study on the Use of Physical Restraints in ICUs.
- Author:
Yongae CHO
1
;
Jungsook KIM
;
Nari KIM
;
Heejung CHOI
;
Junggu CHO
;
Heejung LEE
;
Ryungin KIM
;
Younghee SUNG
Author Information
1. Department of Nursing, Samsung Medical Center, Korea. js9.kim@samsung.com
- Publication Type:Original Article
- Keywords:
Intensive care unit;
Physical restraint
- MeSH:
Child;
Ethics;
Humans;
Intensive Care Units;
Nursing;
Nursing Care;
Patient Rights;
Restraint, Physical*;
Surveys and Questionnaires
- From:Journal of Korean Academy of Adult Nursing
2006;18(4):543-552
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this descriptive study was to investigate the pattern of physical restraints used in ICUs and to identify influencing factors of application and removal of restraints. METHOD: The subjects of this study were 90 restrained patients out of 215 patients over 6 years old who were admitted to 6 ICUs in SMC during a 2 weeks period. The data was collected through a questionnaire of characte-ristics, guidelines and nursing care of restraint uses. The data were analyzed by non-parametric statistic with the use of the SAS program. RESULTS: The restraints were applied to 31.4% of subjects. Mean time of physical restraint was 36.76 55.7 hours. There were significant difference with mean time and frequency according to duty shift. GCS, restless behavior and discomfort factors, medical devices, and life sustaining devices had significant relation with application of restraints. In addition, the mean time of restraints used were related significantly with GCS, restless behavior, and discomfort factors. CONCLUSION: The used of restraints were dependent on mainly the nurses' decision. Thus ICU nurses have to develop the guidelines to applying restraints and removal of restraints in regard to patients rights and ethics. Continuous monitoring and evaluation of application of the restraints is essential in professional nursing.
