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 |
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Erscheinungsjahr: |
2019 |
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Erschienen: |
2019 |
Enthalten in: |
Zur Gesamtaufnahme - volume:53 |
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Enthalten in: |
Revista da Escola de Enfermagem da U S P - 53(2019) vom: 13. Juni, Seite e03473 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Souza, Lívia Maria da Silva [VerfasserIn] |
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Links: |
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Themen: |
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Anmerkungen: |
Date Completed 10.01.2020 Date Revised 10.01.2020 published: Electronic Citation Status MEDLINE |
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doi: |
10.1590/S1980-220X2018007303473 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM298318504 |
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500 | |a Date Completed 10.01.2020 | ||
500 | |a Date Revised 10.01.2020 | ||
500 | |a published: Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a OBJECTIVE: To estimate the prevalence of mechanical restraint in the hospital environment and the factors associated with its performance | ||
520 | |a 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 | ||
520 | |a 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 | ||
520 | |a 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 | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Observational Study | |
700 | 1 | |a Santana, Rosimere Ferreira |e verfasserin |4 aut | |
700 | 1 | |a Capeletto, Cristiane da Silva Gabriel |e verfasserin |4 aut | |
700 | 1 | |a Menezes, Arianna Kassiadou |e verfasserin |4 aut | |
700 | 1 | |a Delvalle, Romulo |e verfasserin |4 aut | |
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