Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지
DOI QR코드

DOI QR Code

Emotional Response of ICU Patients' Family toward Physical Restraints

중환자실 환자의 억제대 적용에 대한 가족의 정서적 반응

  • 강지연 (동아대학교 간호학과) ;
  • 이은남 (동아대학교 간호학과) ;
  • 박은영 (대동대학교 간호학과) ;
  • 이영옥 (고신대학교 복음병원 외과계중환자실) ;
  • 이미미 (서울대학교병원 외과계 중환자실)
  • Received : 2012.11.20
  • Accepted : 2013.04.22
  • Published : 2013.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate the emotional response of family members of physically restrained patients in the intensive care units (ICUs). Methods: The study subjects were 200 family members of ICU patients who had been on physical restraints in two university hospitals. Data were collected using the "Instrument of family's emotional response toward physically restrained patients". Results: The mean score of familial emotional response was 2.69 out of a possible 5. The subcategory of acceptance was the highest with 3.56 points followed by depression (3.02), helplessness (2.94), anxiety (2.87), shock (2.74), avoidance (2.64), and grudge (2.08). Multiple stepwise regression analysis indicated that the age of family members, side effects of restraints, and information provision were the variables influencing on negative emotional response of family. Conclusion: Family members showed slightly negative emotional response toward the physical restraints. This finding could be influenced by their limited knowledge of the need for the restraints. Educational programs or fact sheets to be given to family members may be helpful.

Keywords

References

  1. Benbenishty, J., Adams, S., & Endacott, R. (2010). Physical restraint use in intensive care units across Europe: The PRICE study. Intensive and Critical Care Nursing, 26, 241-245. http://www.doi.org/doi:10.1016/j.iccn.2010.08.003
  2. Bijttebier, P., Vanoost, S., Delva, D., Ferdinande, P., & Frans, E. (2001). Needs of relatives of critical care patients: Perceptions of relatives, physicians and nurses. Intensive Care Medicine, 27, 160-165. https://doi.org/10.1007/s001340000750
  3. Bray, K., Hill, K., Robson, W., Leaver, G., Walker, N., O'Leary, M., et al. (2004). British Association of Critical Care Nurses position statement on the use of restraint in adult critical care units. Nursing in Critical Care, 9 , 199-212. https://doi.org/10.1111/j.1362-1017.2004.00074.x
  4. Cho, Y. A., Kim, J. S., Kim, N. R., Choi, H. J., Jo, J. G., Lee, H. J., et al. (2006). A Study on the use of physical restraints in ICUs. Korean Journal of Adult Nursing, 18, 543-552.
  5. Choi, E., & Song, M. (2003). Physical restraint use in Korean ICU. Journal of Clinical Nursing, 12 , 651-659. https://doi.org/10.1046/j.1365-2702.2003.00789.x
  6. Chuang, Y. H., & Huang, H. T. (2007). Nurses' feelings and thoughts about using physical restraints on hospitalized older patients. Journal of Clinical Nursing, 16, 486-494. https://doi.org/10.1111/j.1365-2702.2006.01563.x
  7. Davidson, J. E., Jones, C., & Bienvenu, O. J. (2012). Family response to critical illness: Postintensive care syndromefamily. Critical Care Medicine, 40, 618-624. http://dx.doi.org/10.1097/CCM.0b013e318236ebf9
  8. Farina-Lopez, E., Estevez-Guerra, G. J., Nunez, G. E., Montilla, F. M., & Santana, S. E. (2008). Descriptive study of the attitudes of family caregivers to the use of physical restraints: Preliminary results. Revista Espanola de Geriatria y Gerontologia, 43, 201-207. https://doi.org/10.1016/S0211-139X(08)71183-1
  9. Hardin, S. B., Magee, R., Vinson, M. H., Owen, M., Hyatt, E., & Stratmann, D. (1993). Patient and family perceptions of restraints. Journal of Holistic Nursing, 11, 383-397. https://doi.org/10.1177/089801019301100407
  10. Haut, A., Böther, N., Franke, N., & Hartmann, H. (2007). Physical restraints in geriatric care: Attitudes of nurses, patients and their families. Pflege Zeitschrift, 60, 206-209.
  11. Haut, A., Kolbe, N., Strupeit, S., Mayer, H., & Meyer, G. (2010). Attitudes of relatives of nursing home residents toward physical restraints. Journal of Nursing Scholarship, 42 , 448-456. https://doi.org/10.1111/j.1547-5069.2010.01341.x
  12. Kanski, G. W., Janelli, L. M., Jones, H. M., & Kennedy, M. C. (1996). Family reactions to restraints in an acute care setting. Journal of Gerontological Nursing, 22 (6), 17-22.
  13. Kentish-Barnes, N., Lemiale, V., Chaize, M., Pochard, F., & Azoulay, É. (2009). Assessing burden in families of critical care patients. Critical Care Medicine, 37 (10 Suppl), S448-456. http://dx. doi.org/10.1097/CCM.0b013e3181b6e145
  14. Kim, M. Y. (2007). ICU patients' experience process of physical restraint. Korean Journal of Adult Nursing, 19, 583-592.
  15. Kim, M. Y. (2009). A study on the use of restraints in ICUs. Unpublished master's thesis, Keimyung University, Daegu.
  16. Lai, C. K., & Wong, I. Y. C. (2008). Families' perspectives on the use of physical restraints. Contemporary Nurse, 27, 177-184. http://doi.org/doi: 10.5555/conu.2008.27.2.177
  17. Langley, G., Schmollgruber, S., & Egan, A. (2011). Restraints in intensive care units-a mixed method study. Intensive and Critical Care Nursing, 27, 67-75. https://doi.org/10.1016/j.iccn.2010.12.001
  18. Lee, E. N., Ha, S. J., & Kang, J. Y. (2008). Development and testing of an instrument to measure family's emotional response toward physically restrained patients. Journal of Korean Academy of Nursing, 38, 629-638. https://doi.org/10.4040/jkan.2008.38.4.629
  19. Lee, M. M., & Kim, K. S. (2012). Comparison of physical injury, emotional response and unplanned self-removal of medical devices according to use of physical restraint in intensive care unit patients. Journal of Korean Clinical Nursing Research, 18, 296-306.
  20. Martin, B., & Mathisen, L. (2005). Use of physical restraints in adult critical care: A bicultural study. American Journal of Critical Care, 14, 133-142.
  21. McAdam, J. L., Dracup, K. A., White, D. B., Fontaine, D. K., & Puntillo, K. A. (2010). Symptom experiences of family members of intensive care unit patients at high risk for dying. Critical Care Medicine, 38, 1078-1085. http://dx.doi.org/ 10.1097/CCM.0b013e3181cf6d94
  22. Minnick, A., Leipzig, R. M., & Johnson, M. E. (2001). Elderly patients' reports of physical restraint experiences in intensive care units. American Journal of Critical Care, 10 , 168-171.
  23. Myhren, H., Ekeberg, O., Langen, I., & Stokland, O. (2004). Emotional strain, communication, and satisfaction of family members in the intensive care unit compared with expectations of the medical staff: Experiences from a Norwegian university hospital. Intensive Care Medicine, 30, 1791-1798. Epub 2004 Jul 16. http://dx.doi.org/10.1007/s00134-004-2375-5
  24. Newbern, V. B., & Lindsey, I. H. (1994). Attitudes of wives toward having their elderly husbands restrained. Geriatric Nursing, 15, 135-141. https://doi.org/10.1016/S0197-4572(09)90038-6
  25. Park, S. (2005). A study of the influences of critically ill patient families' stress on the functional health of the patients: Focused on the moderating effect of family functioning. Unpublished master's thesis, Yonsei University, Seoul.
  26. Plaszewska-Zywko, L., & Gazda, D. (2012). Emotional reactions and needs of family members of ICU patients. Anaesthesiology Intensive Therapy, 44, 145-149.
  27. Schmidt, M., & Azoulay, E. (2012). Having a loved one in the ICU: The forgotten family. Current Opinion in Critical Care, 18, 540-547. http://dx.doi.org/10.1097/MCC.0b013e328357f141
  28. Schwarzkopf, D., Behrend, S., Skupin, H., Westermann, I., Riedemann, N. C., Pfeifer, R., et al. (2013). Family satisfaction in the intensive care unit: A quantitative and qualitative analysis. Intensive Care Medicine, Advanced online publication. http://dx.doi.org/10.1007/s00134-013-2862-7.
  29. Vassallo, M., Wilkinson, C., Stockdale, R., Malik, N., Baker, R., & Allen, S. (2005). Attitudes to restraint for the prevention of falls in hospital. Gerontology, 51, 66-70. https://doi.org/10.1159/000081438
  30. Yoo, J. M. (2011). Knowledge and attitudes about the use of the restraints in nurses. Unpublished master's thesis, Ajou University, Suwon.

Cited by

  1. Evidence-Based Practice Guideline: Changing the Practice of Physical Restraint Use in Acute Care vol.42, pp.2, 2016, https://doi.org/10.3928/00989134-20160113-04
  2. 신경계 병동에서 억제대를 적용 중인 환자가족의 억제대 적용에 대한 인식과 태도 vol.16, pp.5, 2013, https://doi.org/10.5762/kais.2015.16.5.3293
  3. 요양보호사의 억제대 사용에 대한 인식 vol.17, pp.5, 2016, https://doi.org/10.5762/kais.2016.17.5.452
  4. Perceptions and Intention of Nurses in Using Physical Restraints for Dementia Patients in Geriatric Hospitals vol.18, pp.3, 2013, https://doi.org/10.17079/jkgn.2016.18.3.159
  5. 요양병원에서 신체억제대를 적용한 일부 치매노인 환자의 특성과 부작용 관련성 vol.16, pp.4, 2018, https://doi.org/10.14400/jdc.2018.16.4.221
  6. 중환자실 생존자의 외상 후 스트레스장애 발생정도와 영향요인 vol.26, pp.1, 2013, https://doi.org/10.22650/jkcnr.2020.26.1.97