Poster Presentation
Friday, July 13, 2007
9:30 AM - 10:15 AM
Friday, July 13, 2007
3:15 PM - 4:00 PM
The Comparison of the Difference of Physical Restraint Used between Medical and Surgical ICU Patients-the Example of Teaching Hospital in Southern Taiwan
Yung Ming, RN, MSN, Yuan-Ting Huang, RN, MSN, and Wen-Chiung Yu, RN, MSN. Nursing Department, Kaohsiung Armed Forces General Hospotal, Kaohsiung, Taiwan
| Learning Objective #1: The learner will be able to recognize the physical restraint used in critical patients. |
| Learning Objective #2: The learner will be able to compare the difference of restraint used between medical and surgical ICU patients. |
The purposes of the study were to recognize the physical restraint used in critical patients and to compare the difference of restraint used between medical and surgical ICU patients. The data was collected from May 2005 to April 2006. The instruments of the study were “the recording sheet of physical restrain” and “patient’s chart”. There were 2105 person-time admitted in ICU, and physical restrain were used on 911 person-time. The data was analyzed by SPSS 12.0 software. We used descriptive statistics to analyze demographic data of the patients who used physical restraint. χ
2 (non-parametric analysis) was used to analyze the difference regarding the status of the using of physical restraint between medical and surgical ICU patients. The results of the study were: (1) the ratio of the using of physical restraint on critical patients was 45.2%, and 33.3% in medical ICU, 66.7% in surgical ICU; (2) the physical restraint used at day shift was more in surgical ICU (38%) than in medical ICU (31%); (3) the mean restraint time of the using of physical restraint was 55.38 hours (SD=113.1) in surgical ICU and 58.94 hours (SD=75.6) in medical ICU; (4) the significant differences of the variables of physical restraint between medical and surgical ICU were shift and restraint time (p<.05), the reason of physical restraint used was no significant difference(p>.05). We suggest: (1) the indication of the using of physical restrain should be recognized more seriously in surgical ICU to reduce the ratio of physical restraint used and to improve the quality of patient care; (2) the time of physical restraint used was too long for the patients in both ICU, especially in surgical ICU. The nurses will be educated to use physical restraint adequately to increase the patient’s safety.