Factors associated with the use of physical restraint in intensive care patients
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Escola de Enfermagem da USP (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342020000100424 |
Resumo: | Abstract Objective: To verify the frequency of physical restraint in patients and the factors associated with its use in the intensive care unit. Method: An observational and prospective study on the use of restraint in patients observed over two days, considering the variables: age and gender, personal and clinical characteristics, devices, adverse event and restraint use. The frequency was verified in three groups of patients with different conditions by applying the Chi-Squared, Likelihood Ratio or Kruskal-Wallis tests. The association of the variables was verified with the Multinomial Logistic Regression. Results: Eighty-four (84) patients participated. Restraint was observed in 77.4% of the 84 analyzed patients, and was more frequent in the presence of sedation, agitation and invasive devices. The chance of being restrained was at least five times higher in sedation conditions, whether in weaning or daily awakening, mechanical ventilation weaning, agitation or the presence of invasive devices. Conclusion: Restraint use was high and was associated with female gender, sedation, agitation and invasive airway. It is emphasized and important to apply policies to reduce restraint use in intensive care. |
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Revista da Escola de Enfermagem da USP (Online) |
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Factors associated with the use of physical restraint in intensive care patientsIntensive Care UnitsNursing CareRestraint Physical, Risk ManagementAbstract Objective: To verify the frequency of physical restraint in patients and the factors associated with its use in the intensive care unit. Method: An observational and prospective study on the use of restraint in patients observed over two days, considering the variables: age and gender, personal and clinical characteristics, devices, adverse event and restraint use. The frequency was verified in three groups of patients with different conditions by applying the Chi-Squared, Likelihood Ratio or Kruskal-Wallis tests. The association of the variables was verified with the Multinomial Logistic Regression. Results: Eighty-four (84) patients participated. Restraint was observed in 77.4% of the 84 analyzed patients, and was more frequent in the presence of sedation, agitation and invasive devices. The chance of being restrained was at least five times higher in sedation conditions, whether in weaning or daily awakening, mechanical ventilation weaning, agitation or the presence of invasive devices. Conclusion: Restraint use was high and was associated with female gender, sedation, agitation and invasive airway. It is emphasized and important to apply policies to reduce restraint use in intensive care.Universidade de São Paulo, Escola de Enfermagem2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342020000100424Revista da Escola de Enfermagem da USP v.54 2020reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/s1980-220x2018058503571info:eu-repo/semantics/openAccessZulian,Luana RosasMori,SatomiTeraoka,Eliana CavalariMiyasaki,Vanessa Yukie KitaZanei,Suely Sueko ViskiWhitaker,Iveth Yamaguchieng2020-07-13T00:00:00Zoai:scielo:S0080-62342020000100424Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2020-07-13T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Factors associated with the use of physical restraint in intensive care patients |
title |
Factors associated with the use of physical restraint in intensive care patients |
spellingShingle |
Factors associated with the use of physical restraint in intensive care patients Zulian,Luana Rosas Intensive Care Units Nursing Care Restraint Physical, Risk Management |
title_short |
Factors associated with the use of physical restraint in intensive care patients |
title_full |
Factors associated with the use of physical restraint in intensive care patients |
title_fullStr |
Factors associated with the use of physical restraint in intensive care patients |
title_full_unstemmed |
Factors associated with the use of physical restraint in intensive care patients |
title_sort |
Factors associated with the use of physical restraint in intensive care patients |
author |
Zulian,Luana Rosas |
author_facet |
Zulian,Luana Rosas Mori,Satomi Teraoka,Eliana Cavalari Miyasaki,Vanessa Yukie Kita Zanei,Suely Sueko Viski Whitaker,Iveth Yamaguchi |
author_role |
author |
author2 |
Mori,Satomi Teraoka,Eliana Cavalari Miyasaki,Vanessa Yukie Kita Zanei,Suely Sueko Viski Whitaker,Iveth Yamaguchi |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Zulian,Luana Rosas Mori,Satomi Teraoka,Eliana Cavalari Miyasaki,Vanessa Yukie Kita Zanei,Suely Sueko Viski Whitaker,Iveth Yamaguchi |
dc.subject.por.fl_str_mv |
Intensive Care Units Nursing Care Restraint Physical, Risk Management |
topic |
Intensive Care Units Nursing Care Restraint Physical, Risk Management |
description |
Abstract Objective: To verify the frequency of physical restraint in patients and the factors associated with its use in the intensive care unit. Method: An observational and prospective study on the use of restraint in patients observed over two days, considering the variables: age and gender, personal and clinical characteristics, devices, adverse event and restraint use. The frequency was verified in three groups of patients with different conditions by applying the Chi-Squared, Likelihood Ratio or Kruskal-Wallis tests. The association of the variables was verified with the Multinomial Logistic Regression. Results: Eighty-four (84) patients participated. Restraint was observed in 77.4% of the 84 analyzed patients, and was more frequent in the presence of sedation, agitation and invasive devices. The chance of being restrained was at least five times higher in sedation conditions, whether in weaning or daily awakening, mechanical ventilation weaning, agitation or the presence of invasive devices. Conclusion: Restraint use was high and was associated with female gender, sedation, agitation and invasive airway. It is emphasized and important to apply policies to reduce restraint use in intensive care. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342020000100424 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342020000100424 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1980-220x2018058503571 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP v.54 2020 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
collection |
Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
_version_ |
1748936540501835776 |