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요양병원 간호사의 치매 환자에 대한 신체적 억제대 사용인식과 사용의도

Perceptions and Intention of Nurses in Using Physical Restraints for Dementia Patients in Geriatric Hospitals

김계하|이현주
한국노인간호학회 (Korean Gerontological Nursing Society)|2016.12|노인간호학회지 (Journal of Korean Gerontological Nursing)|제18권 제3호|pp. 159-171|DOI http://dx.doi.org/10.17079/jkgn.2016.18.3.159

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참고문헌

키워드

인식Perception치매Dementia간호사Nurses의도IntentionPhysical restraints신체적 억제대
주제분류간호학

초록

Purpose: The purpose of this study was to investigate nurses' perceptions and intention to use physical restraints for geriatric hospital dementia patients. Methods: A cross-sectional study design was used with 112 nurses recruited from 6 geriatric hospitals. Data on nurses' general characteristics as well as perceptions and intention to use physical restraints for dementia patients were collected. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient and standard multiple regression with SPSS/WIN 21.0. Results: There were significant differences in perceptions of physical restraints for dementia patients according to type of restraint (wrist, lapboard with wheelchair, or alternative methods). Significant differences in intention were found for age, position, mobility decline, alternative methods, physical restraints guideline, and complaints from family. Factors affecting nurses' intention to use physical restraints included perceptions on physical restraint use, mobility decline, being a head nurse, and no alternative method available. These factors explained 51% of total variances in the regression model. Conclusion: Findings show that nurses' perception of physical restraints for geriatric hospital dementia patients is significantly correlated with intention to use physical restraints. Therefore, provision of periodic training and education on alternatives are necessary to reduce indiscriminate use of physical restraints.

Abstract

Purpose: The purpose of this study was to investigate nurses' perceptions and intention to use physical restraints for geriatric hospital dementia patients. Methods: A cross-sectional study design was used with 112 nurses recruited from 6 geriatric hospitals. Data on nurses' general characteristics as well as perceptions and intention to use physical restraints for dementia patients were collected. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient and standard multiple regression with SPSS/WIN 21.0. Results: There were significant differences in perceptions of physical restraints for dementia patients according to type of restraint (wrist, lapboard with wheelchair, or alternative methods). Significant differences in intention were found for age, position, mobility decline, alternative methods, physical restraints guideline, and complaints from family. Factors affecting nurses' intention to use physical restraints included perceptions on physical restraint use, mobility decline, being a head nurse, and no alternative method available. These factors explained 51% of total variances in the regression model. Conclusion: Findings show that nurses' perception of physical restraints for geriatric hospital dementia patients is significantly correlated with intention to use physical restraints. Therefore, provision of periodic training and education on alternatives are necessary to reduce indiscriminate use of physical restraints.

참고문헌 (30)

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