کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2652045 1563948 2016 8 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
A non-pharmacologic approach to decrease restraint use
ترجمه فارسی عنوان
یک روش غیردارویی برای کاهش استفاده از خویشتن داری
کلمات کلیدی
محدودیت؛ هذیان؛ آرام‌بخشی؛ CAM-ICU؛ درک پرستار؛ واحد مراقبت های ویژه تروما
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

SummaryAimsTo evaluate an education intervention to decrease restraint use in patients in a Trauma Intensive Care Unit (TICU) and to evaluate nurses’ perceptions regarding restraints.ObjectivesTo measure restraint use pre/post-intervention and to measure nurses’ perceptions of restraint use.MethodsPre/post-intervention design to collate incidences of delirium and restraints pre/post-intervention. Data reporting nurses’ views and preferences were collected pre-intervention.MeasuresPatients were assessed by nursing on admission and every shift with the Confusion Assessment Method for TICU. Restraint use was measured in a 24-hour period. Nurses’ perception of restraints was measured using Perceptions of Restraint Use Questionnaire (PRUQ).ResultsA statistically significant difference was demonstrated in restraint use before and after the educational intervention. Mean and standard deviation for restraints per 1000 patient days pre-intervention was 314.1 (35.4), post-intervention 237.8 (56.4) (p = 0.008). Mean PRUQ overall, 3.57 (range 1–5) indicated that nurses had positive attitudes towards restraints in certain circumstances. The primary reasons for using restraints were: “protecting patients from falling out of bed”, 37 (72.5%), and “protecting patients from falling out of chair”, 34 (66.7%).ConclusionThis study demonstrates that a low risk educational intervention aimed at use of an alternative device use can reduce restraint use.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Intensive and Critical Care Nursing - Volume 34, June 2016, Pages 20–27
نویسندگان
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