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Development and Testing of an Instrument to Measure Family`s Emotional Response toward Physically Restrained Patients

Journal of Korean Academy of Nursing 2008³â 38±Ç 4È£ p.629 ~ 638
KMID : 0806120080380040629
ÀÌÀº³² ( Lee Eun-Nam ) - µ¿¾Æ´ëÇб³ °£È£Çаú

ÇϼöÁø ( Ha Su-Jin ) - µ¿¾Æ´ëÇб³ÀÇ·á¿ø
°­Áö¿¬ ( Kang Ji-Yeon ) - µ¿¾Æ´ëÇб³ °£È£Çаú

Abstract

Purpose: This was a methodological research to develop an instrument to assess the emotional response of family membersof physically restrained patients.

Methods: A primary instrument with 68 questions was developed based on literaturereview and semi-structured interviews with family members. A group of experts revised individual questions and removed4 irrelevant questions. This secondary instrument, then, was tested with 199 family members of physically restrained patientsin intensive care units of a university hospital. The validity and reliability of the instrument were tested by factor analysis.

Results: After item analysis, 3 questions with a correlation coefficient under .30 were discarded and the
questions with a actor loading under .45 on Varimax Rotation were also removed. After factor analysis on the final 37 questions, 7 factorswere identified; avoidance, shock, helplessness, grudge, depression, anxiousness, and acceptance. The total variance explainedwas 55.63%. The reliability of this instrument was 0.93 of Cronbach¡¯s alpha.

Conclusion: This instrument was statisticallyreliable and valid to measure family¡¯s emotional response to physical restraints of the patients. This instrument canbe useful in assessing the effects of nursing interventions for family members of restrained patients.
KeyWords
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Physical restraints, Family, Emotion, Instrument
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