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Learning Objective 1: Understand the influence of Physical Restraints on the Nurse-Patient Relationshipin in psychiatric patients
Learning Objective 2: Understand the influence of Physical Restraints on the Perception of Dignity in psychiatric patients.
Methods: One hundred and eighty-eight participants were recruited from inpatients by convenience sampling from psychiatric wards of hospitals in northern area. In addition to the demographic data of research instrument, Cossette’s (2006) Caring Nurse-Patient Interaction Scale (CNPI) and Wiegman’s (2003), the Dignity instruments were used to proceed the first time data collection when subjects were admitted into the hospital in three days. After that, data of nurse-patient relationship and perceived dignity were collected every other week. Data was collected four times in total. Descriptive statistics was conducted by the methods of mean, standard deviation, median, frequency, and percentage. Inferential statistics was used to conduct t-test, and Pearson correlation according to the characteristics of variables and research purpose. In the end, Generalized Estimating Equation was conducted to analyze the influence of physical restraint on nurse-patient relationship and perceived dignity by participants.
Results: The results are the followings: 1. Over sixty percent of the subjects think being restrained is useless in controlling emotions and behaviors. 2. Over sixty percent of the patients consider the restraint unnecessary. 3. There is a significant influence of restraint on the growth of nurse-patient relationship (p = .002). This shows the growth of nurse-patient relationship of the subjects who were restrained is less than that of those who were not restrained. As the duration of hospital stay increases, the score of perceived dignity also rises. There is no significant difference in the influence of physical restraint use on perceived dignity by participants.
Conclusion: This research can be the reflection and reference for nursing staffs as well as the time before and after executing clinical nursing and restraining patients.