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Journal of Korean Academy of Fundamentals of Nursing 2010;17(2): 177
일 대학병원 중환자실의 억제대 사용실태
김미연1, 박정숙2
1계명대학교 동산의료원 신경외과 중환자실
2계명대학교 간호대학
A Study on the Application of Physical Restraints in Intensive Care Units
Mi-Yeon Kim1, Jeong-Sook Park2
1Neurosurgical ICU, Dongsan Hospital of Keimyung University
2College of Nursing, Keimyung University
Purpose: The purpose of this descriptive study was to investigate the application of physical restraints in ICUs of a university hospital.
Method: Data were collected from August 1 to October 1 2009, using a recording tool from Electric Nursing Records and an observation tool for physical restraints and related factors. Frequency, percentage, and paired t-test with the SPSS/WIN 16.0 program were used to analyze the data.
Results: The application rate for physical restraints in 5 ICUs was 34.3%, the highest application rate was 48.4% in the neurosurgical ICU. The mean frequency for physical restraint application per patient was 1.14, and the mean hours of restraint application per incident was 113.01 hours. The most common complications of physical restraints were bruising and edema.
Conclusion: Many ICU nurses use physical restraints when caring for patients who are at high risk for falls, including patients have high levels of acuity, decreased level of consciousness or increased irritability. When physical restraints are applied, patients show resistance against the use resulting in side effects of bruising and edema. Therefore, nurses should observe changes in restrain sites, perform nursing interventions to prevent complications, and minimize the use of physical restraints.
Key words: Physical restraint | Intensive care units
주요어: 억제대 | 중환자실