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Perceptions of Family Care-givers toward Use of Physical Restraints: An Application of Q-methodology

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KMID : 0367020130250030344
À±ÀºÀÚ ( Yeun Eun-Ja ) - °Ç±¹´ëÇб³ °£È£Çаú

¾ÈÁ¤È­ ( An Jeong-Hwa ) - °Ç±¹´ëÇб³ ÃæÁÖº´¿ø
±èÁ¤¾Æ ( Kim Jung-A ) - ÇѾç´ëÇб³ °£È£Çаú
Àü¹Ì¼ø ( Jeon Mi-Soon ) - ¹é¼®´ëÇб³ °£È£Çаú

Abstract

Purpose: The purpose of this study was to identify on the perceptions of family care-givers toward use of physical restraints according to their values, beliefs, and perceptions using Q methodology.

Methods: Thirty-three family care-givers classified 41 selected Q-statements into 9 points standard. The obtained data were analyzed by using a pc QUANL program.

Results: Principal component analysis identified 4types of the perceptions of family care-givers toward the use of physical restraints. Type I is ¡¯Rational accepted¡¯, which means that they perceived the restraints are essential therapeutic devices and had cooperative attitude to use of medical staffs¡¯ restraints. Type II is ¡¯Sardonic sensibility¡¯, which means that they have a negative and a cynical attitude to use of physical restraints. Type III is ¡¯Ambivalent¡¯, which means that they have conflicts between rationality and emotion, and type IV is ¡¯Practical claim of a right¡¯, which means they insist that patients and their family members must be provided with a detailed explanation regarding the application of physical restraints.

Conclusion: The findings of this study suggest that perceptions toward the use of physical restraints among family care-givers should be understood for patients¡¯ safety and dignity in medical circumstance. Based on the results, this study will be useful in developing the customized nursing intervention for supporting family care-givers¡¯ subjectivity considering the Korean context.
KeyWords
ÁßȯÀÚ, °¡Á·, ÀνÄ, ½Åü¾ïÁ¦´ë, Q ¹æ¹ý·Ð
Intensive care units, Family, Perception, Physical restraint, Q-methodology
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ÇмúÁøÈïÀç´Ü(KCI) KoreaMed