Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
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Development of physical restraints guidelines and use effect

신체적 억제대 지침 개발 및 사용 효과

  • 정윤중 (서울아산병원 중환자 간호팀) ;
  • 김혜현 (서울아산병원 중환자 간호팀) ;
  • 김은한 (서울아산병원 중환자 간호팀) ;
  • 김지연 (서울아산병원 중환자 간호팀) ;
  • 차세정 (서울아산병원 중환자 간호팀) ;
  • 김유진 (서울아산병원 중환자 간호팀) ;
  • 강정은 (서울아산병원 중환자 간호팀) ;
  • 정연화 (서울아산병원 중환자 간호팀) ;
  • 정영선 (서울아산병원 중환자 간호팀) ;
  • 김영환 (아주대학교병원 외상센터) ;
  • 경규혁 (울산대학교병원 외상센터) ;
  • 홍석경 (서울아산병원 외과학교실 외상 및 중환자외과)
  • Received : 2014.04.22
  • Accepted : 2014.06.03
  • Published : 2014.07.11
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Abstract

Objective: The objective of this research was to develop a guideline for more effective use of physical restraint on patients in the intensive care unit and training the nurses on it and applying it on clinical practice to assess its effectiveness. Method: This research analyzed the before and after effect of the development of a guideline for physical restraint by dividing the category into nurse and patient. In the case of nurse, a comparison of knowledge and nursing service regarding the use of physical restraint from before the training on physical restraint guideline(Jan. 2011) and after the training on physical restraint guideline(Dec. 2011) was made. In the case of patient, a comparison of physical restraint usage rate and average usage time, the number of unplanned extubation cases were compared from before the use of physical restraint (Jan.~Apr. 2011) and after the use of physical restraint (Sep.~Dec. 2011) were made. Result: After the training on the physical restraint guideline, the knowledge of the nurse and the nursing practice showed notable improvement by (p<0.000) and (p<0.048) respectively and in patient, physical restraint usage rate and average time of usage decreased by (p<0.001) and (p<0.001) respectively. And despite the decrease in the number of cases in which the physical restraint was used, the number of unplanned extubation cases remained the same. Conclusion: Physical restraint guideline training and guideline usage can be stated to have brought out positive effect in both the nurse and patient. In order to maintain such positive effects, continuous training is necessary and continuous revaluation is necessary, regarding knowledge and nursing practices.

Keywords

References

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