Use of Physical Restraints in a General Hospital: a Cross-Sectional Observational Study

被引:1
作者
Raguan, Barak [1 ]
Wolfovitz, Efrat [2 ]
Gil, Efrat [1 ,2 ,3 ]
机构
[1] Technion Israel Inst Technol, Rappaport Fac Med, Haifa, Israel
[2] Bnai Zion Med Ctr, Dept Internal Med C, Haifa, Israel
[3] Bnai Zion Med Ctr, Geriatr Serv, Haifa, Israel
来源
ISRAEL MEDICAL ASSOCIATION JOURNAL | 2015年 / 17卷 / 10期
关键词
physical restraints; epidemiology; general hospitals; personal autonomy; PREVALENCE;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Physical restraints are a common, albeit controversial, tool used in the acute care setting. Objectives: To determine the prevalence of physical restraint use in an acute care hospital. Secondary objectives were to determine whether physical restraints are used more commonly in night shifts, identify patient risk factors for physical restraint use, and establish if staff-to-patient ratio correlated with physical restraint use. Methods: An observational cross-sectional study was conducted over 3 months in 2013 in the medical, surgical and intensive care units in a mid-sized general hospital. All the physically restrained patients in each observation were added to the registry. At each observation one department was selected for comparison and all non-restrained patients were added to the registry. Results: The study population comprised 2163 patients. Seventy-six were restrained and 205 were included as case-controls. The prevalence of physical restraint use was 3.51% (95%CI = 2.79-4.37%). Physical restraint use was more common in night shifts than day shifts: 4.40% vs. 2.56% (P = 0.03). Male gender, dependency, invasive ventilation, invasive tubes (nasogastric tube or urine catheter), and bedsores were all significantly correlated with restraint use. Staff-to-patient ratios were not significantly correlated with use of physical restraints. Conclusions: Physical restraints are relatively common in acute care wards. The use of physical restraints seems to correlate with certain patient characteristics but not with staff-to-patient ratios, and seems more common at night.
引用
收藏
页码:633 / 638
页数:6
相关论文
共 24 条
[1]  
[Anonymous], 2009, REGULATION PHYS REST
[2]  
Bar-Cohen B, 1998, HAREFUAH, V135, P567
[3]  
Bar-Cohen Bella, 1998, Harefuah, V135, P500
[4]   Physical Restraint Usage at a Teaching Hospital: A Pilot Study [J].
Barton-Gooden, Antoinette ;
Dawkins, Pauline E. ;
Bennett, Joanna .
CLINICAL NURSING RESEARCH, 2015, 24 (01) :73-90
[5]   Under-reporting of delirium in the NHS [J].
Clegg, Andrew ;
Westby, Maggie ;
Young, John B. .
AGE AND AGEING, 2011, 40 (02) :283-286
[6]  
de Vries OJ, 2004, J GERONTOL A-BIOL, V59, P922
[7]   Nurses' use of physical restraints in four Turkish hospitals [J].
Demir, Ayten .
JOURNAL OF NURSING SCHOLARSHIP, 2007, 39 (01) :38-45
[8]   Patient injury and physical restraint devices: a systematic review [J].
Evans, D ;
Wood, J ;
Lambert, L .
JOURNAL OF ADVANCED NURSING, 2003, 41 (03) :274-282
[9]  
Fogel Joyce F, 2009, Care Manag J, V10, P100
[10]   Why do we use physical restraints in the elderly? [J].
Hamers, JPH ;
Huizing, AR .
ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE, 2005, 38 (01) :19-25