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일 대학병원 중환자실의 억제대 사용실태
A Study on the Application of Physical Restraints in Intensive Care Units

김미연    (계명대학교 동산의료원 신경외과 중환자실   ); 박정숙    (계명대학교 간호대학  );
  • 초록

    Purpose: The purpose of this descriptive study was to investigate the application of physical restraints in ICUs of a university hospital. Method: Data were collected from August 1 to October 1 2009, using a recording tool from Electric Nursing Records and an observation tool for physical restraints and related factors. Frequency, percentage, and paired t-test with the SPSS/WIN 16.0 program were used to analyze the data. Results: The application rate for physical restraints in 5 ICUs was 34.3%, the highest application rate was 48.4% in the neurosurgical ICU. The mean frequency for physical restraint application per patient was 1.14, and the mean hours of restraint application per incident was 113.01 hours. The most common complications of physical restraints were bruising and edema. Conclusion: Many ICU nurses use physical restraints when caring for patients who are at high risk for falls, including patients have high levels of acuity, decreased level of consciousness or increased irritability. When physical restraints are applied, patients show resistance against the use resulting in side effects of bruising and edema. Therefore, nurses should observe changes in restrain sites, perform nursing interventions to prevent complications, and minimize the use of physical restraints.


  • 주제어

    억제대 .   중환자실.  

  • 참고문헌 (28)

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  • 이 논문을 인용한 문헌 (4)

    1. Mun, Jung-Sook ; Lee, Gyeong-Nam ; Lee, Dong-Suk 2011. "Effect of a New Developed Physical Restraint to Reduce Skin Injury in Intensive Care Units" 기본간호학회지 = Journal of Korean Academy of Fundamentals of Nursing, 18(1): 28~36     
    2. Yeun, Eun Ja ; An, Jeong Hwa ; Kim, Jung A ; Jeon, Mi Soon 2013. "Perceptions of Family Care-givers toward Use of Physical Restraints: An Application of Q-methodology" 성인간호학회지 = Korean Journal of Adult Nursing, 25(3): 344~355     
    3. Ko, Sung-Hee ; Park, Euna ; Kim, Myung-Ae 2014. "The Typology of Gender Role Identity in Middle-aged Women using Q Methodology" 디지털융복합연구 = Journal of digital convergence, 12(6): 449~456     
    4. Ha, So-Yeon ; Ha, Yi-Kyung ; Kim, Myung-Hee 2015. "Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards" 한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, 16(5): 3293~3302     

 저자의 다른 논문

  • 박정숙 (175)

    1. 1982 "간호교육에 대한 간호학생의 관심도 조사연구" 대한간호 = The Korean nurse 21 (3): 59~74    
    2. 1985 "이완술 사용이 수술후 동통 감소에 미치는 영향" 대한간호학회지= Journal of Korean academy of nursing 15 (1): 76~96    
    3. 1986 "이완술사용이 간호학생들의 첫 임상실습 직전 불안감소에 미치는 영향" 대한간호학회지= Journal of Korean academy of nursing 16 (3): 123~130    
    4. 1987 "동통관리-독자적인 간호중재법을 중심으로" 대한간호 = The Korean nurse 26 (4): 19~25    
    5. 1988 "이완술에 관한 연구논문의 비교분석" 대한간호 = The Korean nurse 27 (2): 83~98    
    6. 1992 "한국인의 이완(Relaxation) 개념에 관한 연구" 대한간호 = The Korean nurse 31 (2): 70~85    
    7. 1993 "한국인의 이완상상에 관한 연구" 대한간호학회지= Journal of Korean academy of nursing 23 (1): 29~41    
    8. 1994 "피부자극이 혈액투석환자의 동정맥루 천자시 동통감소에 미치는 영향" 대한간호 = The Korean nurse 33 (1): 37~51    
    9. 1995 "통증 개념을 다룬 국내 간호 연구 분석" 대한간호학회지= Journal of Korean academy of nursing 25 (1): 30~44    
    10. 1995 "한국 4년제 대학 간호교육의 현황과 발전방안" 한국간호교육학회지 = The Journal of Korean Academic Society of Nursing Education 1 (1): 17~23    

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