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일 종합병원 중환자실의 억제대 적용 실태조사

 A Study on the Use of Physical Restraints in ICUs

성인간호학회지 2006년 18권 4호 p.543 ~ 552
KMID : 0367020060180040543
조용애 ( Cho Yong-Ae ) - 성균관대학교 의과대학 삼성서울병원 가정간호과

김나리 ( Kim Na-Ri ) - 삼성서울병원 간호부
김정숙 ( Kim Jung-Sook ) - 삼성서울병원 간호부
최희정 ( Choi Hee-Jung ) - 삼성서울병원 간호부
조정구 ( Cho Jeong-Koo ) - 삼성서울병원 간호부
이희정 ( Lee Hee-Jung ) - 삼성서울병원 간호부
김령인 ( Kim Ryung-In ) - 삼성서울병원 간호부
성영희 ( Sung Young-Hee ) - 삼성서울병원 간호부

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.
KeyWords
억제대, 중환자실
원문 및 링크아웃 정보
 
등재저널 정보
학술진흥재단(KCI) KoreaMed