You are here

Home » Content

Yoğun bakım ünitelerinde fiziksel tespitli hastaların özellikleri

The characteristics of physically restrained patients in intensive care units

Journal Name:

  • Uluslararası İnsan Bilimleri Dergisi

Publication Year:

  • 2007

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Purpose: The purpose of this study was to determine the characteristics of physically restrained patients in intensive care units, who made the decision to apply restraints, the times they were used and the characteristics of the patients, in other words, the potential reasons why physical restraints were being used. Methods: The research population for this descriptive study was the 115 patients who were being physically restrained. Data were collected with an observation and interview forms. Form 1 was completed by the researcher by observing the patient and reviewing the patient record. Form 2 was completed by interviewing the nurse caring for the patient being physically restrained. Chi-square test was used in analysis of the data. Findings: There was no difference between the rate of injuring patients with physical restraints and the length of time of physical restraint in different ICUs. The percentage of patients which had three and four extremities restrained was higher in the Gastroenterology ICU than the others. The most common type of restraint was observed to be bilateral wrist restraints. For most of the patients the physical restraints were used for 1-7 days. The majority of the decisions to restrain patients were made by the nurses. In this study health care personnel tried using alternative methods in 74.8% of the patients before using physical restraint. Conclusion: Knowing the injuries that can occur from the use of physical restraints and the characteristics of patients being physically restrained can be a guide in nursing care planning and in management. Physical restraint is an important problem in our hospital intensive care units. Also the absence of a monitored form for recording information about physical restraints may be a cause for legal problems. There is a need for the development of standards and appropriate materials for physical restraining.
Bookmark/Search this post with
Abstract (Original Language): 
Amaç: Bu çalışma yoğun bakım ünitelerinde tespit uygulanmasına kimin karar verdiği, tespit uygulanan hastaların özellikleri, fiziksel tespit kullanımı için potansiyel nedenler gibi fiziksel tespitli hastaların özelliklerinin belirlenmesi amacıyla planlanmıştır. Yöntem: Bu tanımlayıcı çalışmada araştırma popülasyonunu fiziksel tespit uygulanan 115 hasta oluşturmuştur. Veriler gözlem ve görüşme formları kullanılarak toplanmıştır. Form 1 araştırmacı tarafından hasta kayıtlarının incelenmesi ve hastanın gözlenmesi yoluyla toplanmıştır. Form 2 fiziksel tespitli hastaların bakımı ile ilgili hemşirelerle görüşme yapılarak toplanmıştır. Verilerin analizinde ki kare yöntemi kullanılmıştır. Bulgular: Fiziksel tespitli hastaların yaralanma oranları ve fiziksel tespit uygulanma süreleri arasında yoğun bakım üniteleri arasında fark bulunmamıştır. Gastroenteroloji yoğun bakım ünitesinde üç ve dört ekstremitesinden tespitli hasta oranı diğer yoğun bakım ünitelerine göre daha yüksek bulunmuştur. En yaygın kullanılan tespit tipinin iki taraflı bilek tespiti olduğu gözlenmiştir. Hastaların çoğuna 1-7 gün arasında fiziksel tespit uygulanmıştır. Hastalara tespit uygulama kararı çoğunlukla hemşireler tarafından verilmektedir. Bu çalışmada sağlık bakım personelinin fiziksel tespit uygulamadan önce hastaların %74.8’inde alternatif yöntemleri denediklerini belirtmiştir. Sonuç: Fiziksel tespitli hastaların özelliklerinin ve fiziksel tespit kullanılması sonucunda meydana gelebilecek yaralanmaların bilinmesi hemşirelik bakımının planlanmasında ve yönetiminde rehber oluşturabilir. Fiziksel tespit bizim hastanelerimizin yoğun bakım ünitelerinde önemli bir problemdir. Ayrıca fiziksel tespitler hakkında bilgilerin kaydedilmesi için izlem formlarının olmaması yasal problemler için bir neden oluşturabilir. Fiziksel tespitler için uygun materyallerin ve standartların geliştirilmesine gereksinim vardır.
FULL TEXT (PDF): 
PDF icon arastrmx_161047_4_pp_1-12.pdf
  • 2
1-12
  • Turkish

REFERENCES

References: 

1. Burke, A. (n.d). Restraints: Working towards a restraint free environment. Retrieved April 26, htpp://www.nursingceu.com/NCEU/courses/restraints.2002
2. Wigder, H. N. (n.d.). Restraints. Retrieved April 28, http://www.emedicenr.com/emerg/topic//6.htm.2002.
3. Vassallo, M., Wilkinson, C., Stockdale, R., Malik, N., Baker, R., & Stephen, A., (2005). Attitudes to restraint for the prevention of falls in hospital. Gerontology, 51 (1), 66-69.
4. Evans, D., Wood, J., & Lambert, L., (2002). A review of physical restraint minimization in the acute and residential care settings. Journal of Advanced Nursing, 40 (6), 616-625.
5. Minnick, A., Leipzig, R. M., & Johnson, M. E., (2001). Elderly patients’ reports of physical restraint experiences in intensive care units. American Journal of Critical Care, 10 (3), 168-171.
6. Tel, H., Beyaztaş, Y. F., & Aslan, D. B., (2001). Sağlık personelinin hastaya fiziksel tespit uygulaması ile ilgili görüş ve yaklaşımlarının incelenmesi (Examination of health care personnel's opinions and approaches to use of physical restraints with patients). 2nd Ulusal Tıbbi Etik Kongresi Kitabı, 323- 336.
7. Taylor, C., Lillis, C., & LeMone, P., (2001). Fundamentals of nursing the art & science of nursing care (4th ed.). Lippincott Williams & Wilkins, Philadelphia.
8. Eşer, İ., & Hakverdioğlu, G. (2006). Fiziksel tespit uygulamaya karar verme (Decision to use physical restraints). Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi, 10 (1), 37-42.
9. Sullivan – Marx, E. M., (2001). Achieving restraint – free care of acutely confused older adults. Journal of Gerontological Nursing, Thorofare, 27 (4), 56- 61.
10. Chien, T. W., (2000). Use of physical restraints on hospitalized psychogeriatric patient. Journal of Psychosocial Nursing & Mental Health Services, 38 (2), 13- 22.
11. Sweeney- Calciano, J., Solimene, A. J., & Forrester, D. A., (2003). Finding a way to avoid restraints. Nursing, 33 (5), 32hn1-32hn4.
12. Choi, E., & Song, M., (2003). Physical restraint use in a Korean ICU. Journal of Clinical Nursing, 12, 651-659.
13. Hantikainen, V., & Kappeli, S., (2000). Using restraint with nursing home residents: A qualitative study of nursing staff perceptions and decision-making. Journal of Advanced Nursing, 32 (5), 1196-1205.
14. Bray, K., Hill, K., Robson, W., Leaver, G., Walker, N., O’Leary, M., et al., (2004). British association of critical care nurses position statement on the use of restraint in adult critical care units. Nursing in Critical Care, 9 (5), 199-212.
15. Clark, M. A., (2005). Involuntary admission and the medical inpatient: Judicious use of physical restraint. Medsurg Nursing, 14 (4), 213-219.
Eşer İ, Khorshid L, Hakverdioğlu G. (2007). The characteristics of physically restrained patients in
intensive care units. International Journal of Human Sciences [Online]. 4:2. Available:
http://www.insanbilimleri.com
10
16. Morrison, E. F., Fox, S., Burger, S., Goodloe, L., Blosser, J., & Gitter, K., (2000). A nurse-led, unit-based program to reduce restraint use in acute care. Journal of Nursing Care Quality, 14 (3), 72-80.
17. Cotter, V. T., (2005). Restraint free care in older adults with dementia. Keio J Med, 54 (2), 80-84.
18. Janelli, L. M., Dickerson, S. S., & Ventura, M. R., (1995). Focus groups: Nursing staff’s experiences using restraints. Clinical Nursing Research, 4 (4): 425- 441.
19. Kozub, M. L., & Skidmore, R., (2001). Seclusion & Restraint: Understanding recent changes. Journal of Psychosocial Nursing & Mental Health Services, 39 (3), 24- 31.
20. Lusis, S., (2000). Update on restraint use in acute care settings. Plastic Surgical Nursing, 20 (3), 145-150.
21. Martin, B., & Marthisen, L., (2005). Use of physical restraints in adult critical care: A bicultural study. American Journal of Critical Care, 14 (2), 133-142.
22. Bonn, K. L., (1995). What is a restraint? Nursing Homes Long Term Care Management, 4 (8), 38.
23. Huffman, G. B., (1998). Intervention to reduce use of restraints in nursing homes. American Family Physician, 57 (3), 538.
24. Winston, P. A., Morelli, P., Bramble, J., Friday, A., & Sanders, J. B., (1999). Improving patient care through implementation of nurse-driven restraint protocols. Journal of Nursing Care Quality, 13 (6), 32-46.
25. Karlsson, S., Bucht, G., Eriksson, S., & Sandman, P., (2001). Factors relating to the use of physical restraints in geriatric care settings. Journal of the American Geriatrics Society, 49 (12), 1722-1728.
26. Hendel, T., Fradkin, M., & Kidron, D., (2004). Physical restraint use in health care settings: Public attitudes in Israel. Journal of Gerontological Nursing, 30 (2), 12-19.
27. Bourbonniere, M., Strumpf, N. E., Evans, L. K., & Maislin G., (2003). Organizational characteristics and restraint use for hospitalized nursing home resident. Journal American Geriatric Society, 51, 1079-1084.
28. Kow, J. V., & Hogan, D. B., (2000). Use of physical and chemical restraint in medical teaching units. Canadian Medical Association Journal, 162 (3), 339.

Thank you for copying data from http://www.arastirmax.com