• 作者：A.I. Pé ; rez de Ciriza Amatriain^a ; ^{anabelp@unav.es} ; A. Nicolá ; s Olmedo^a ; R. Goñ ; i Viguria^a ; E. Regaira Martí ; nez^a ; M.A. Margall Coscojuela^b ; M.C. Asiain Erro^a
• 关键词：Restricciones fí ; sicas ; Percepció ; n de los pacientes ; Percepció ; n de los familiares ; Unidad de Cuidados Intensivos
• 刊名：Enfermer铆a Intensiva
• 出版年：2012
• 期刊代码：pca155_11302399
• 类别：med
• 出版时间：April-June, 2012
• 卷：23
• 期：2
• 页码：77-86
• 文件大小：319 K

Introduction

The use of physical restraints in Intensive Care Units (ICU) is common although little is known about patients鈥?and relatives鈥?perceptions of this use.

Objectives

1) To analyze the prevalence and use of physical restraints in a general adult ICU; 2) to know the perceptions of patients who experienced use of physical restraints and; 3) to know the perceptions of relatives of patients who used physical restraints.

Methods

This descriptive study, which used both quantitative and qualitative methods, was carried out in an adult ICU. For the first objective, all the patients (101) who had used any kind of physical restraint were analysed. For the second and third objectives, 30 patients and 30 relatives were interviewed using the guidelines of Strumpf & Evans as modified by Hardin (1993). All interviews were recorded, fully transcribed and then submitted to a language content analysis using the method of Hsieh & Shannon.

Results

The only physical restraint used was the wrist restraint with a prevalence of 43.47%. Seventy-two percent of patients wore the restraint 鈮?2h and 28%>12h. Analysis of the patient interviews revealed 4 main themes: acceptance of the restraint conditioned by beliefs and information provided; feelings and sensations caused by the use of the restraint; alternatives proposed and future repercussions. Three themes emerged from the interviews with relatives: impressions caused by the use of the restrictions; reasons for accepting or rejecting them; alternatives to the use of restraints.

Conclusions

Most patients used physical restraints for a short period of time and only the wrist restraint was used. Patients using physical restraints and their relatives expressed a wide range of feelings and sensations, with no negative future repercussions. In general, they agreed with the use of restraints although more precise information would lead to greater acceptance.