Use of physical restraint in hospital patients: A descriptive study in a tertiary hospital in South Africa
Curationis
| Field | Value | |
| Title | Use of physical restraint in hospital patients: A descriptive study in a tertiary hospital in South Africa | |
| Creator | Kalula, Sebastiana Z. Petros, Sabela G. | |
| Description | Background: The use of physical restraint in patient management is a common and emotive issue, and has legal and ethical dimensions.Objective: To document the prevalence of physical restraint use, patient characteristics associated with physical restraint use, and nurses’ and doctors’ knowledge and perceptions towards the practice.Methods: A cross-sectional study of 572 patients, of whom 132 were physically restrained, was conducted in acute wards of a tertiary hospital. Data were collected on the 132 physically restrained patients. Fifty-nine doctors and 159 nurses completed a specially constructed questionnaire. Descriptive statistics were derived and expressed as numbers and percentages.Results: Prevalence of restraint use was 23% (132/572). The distribution in acute wards was: medical 54.5%; surgical 44.7%; maternity 0.8%; psychiatry none. Mean age (SD) of the restrained patients was 49 years (20.5); 53.8% were male. The commonest types of restraints used were bed rails 93% and wrist belts 12%. Restraints were used largely to protect medical devices and as protection from harm. Less than 15% of the nurses reported having received training and 36% of the doctors reported having received some guidance on the use of restraints. Only a minority of nurses and doctors knew of a hospital policy on restraint use. Documentation on the prescription and indication for the use of restraint was poor.Conclusion: Prevalence of restraint use is high and poorly coordinated. A policy on the use of restraint and comprehensive guidelines should be developed to guide health care practitioners in the management of patients where restraint cannot be avoided. | |
| Publisher | AOSIS | |
| Date | 2016-11-10 | |
| Identifier | 10.4102/curationis.v39i1.1605 | |
| Source | Curationis; Vol 39, No 1 (2016); 8 pages 2223-6279 0379-8577 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://curationis.org.za/index.php/curationis/article/view/1605/2056
https://curationis.org.za/index.php/curationis/article/view/1605/2055
https://curationis.org.za/index.php/curationis/article/view/1605/2057
https://curationis.org.za/index.php/curationis/article/view/1605/2052
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