Factors associated with mechanical restraint in the hospital environment : a cross-sectional study

OBJECTIVE: To estimate the prevalence of mechanical restraint in the hospital environment and the factors associated with its performance.

METHOD: A cross-sectional, observational study with patients from a public hospital from the medical clinic, surgical clinic and intensive care unit evaluated by descriptive, univariate and multivariate analyses.

RESULTS: One hundred eleven (111) patients participated in the study. The prevalence of mechanical restraint was 51.4%; bilateral rails on the bed were used in 100% of the restraints, and bilateral wrist restraints were also observed in 29.8%. The most common justifications were the risk of falls (100.0%) and the risk of non-scheduled removal of invasive devices (57.9%). The restrained patients differ significantly from those not restrained by the following associated factors: male gender; age; stroke diagnosis; the hospitalization unit; ambulation capacity; the use of sedative medication; and the use of invasive devices.

CONCLUSION: This study estimated a high mechanical restraint prevalence in the hospital environment and determined factors associated with the risk of a patient being restrained. A medical restraint evaluation team is recommended for an in-depth analysis of indication and therapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:53

Enthalten in:

Revista da Escola de Enfermagem da U S P - 53(2019) vom: 13. Juni, Seite e03473

Sprache:

Englisch

Beteiligte Personen:

Souza, Lívia Maria da Silva [VerfasserIn]
Santana, Rosimere Ferreira [VerfasserIn]
Capeletto, Cristiane da Silva Gabriel [VerfasserIn]
Menezes, Arianna Kassiadou [VerfasserIn]
Delvalle, Romulo [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Observational Study

Anmerkungen:

Date Completed 10.01.2020

Date Revised 10.01.2020

published: Electronic

Citation Status MEDLINE

doi:

10.1590/S1980-220X2018007303473

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM298318504