|
Effective Factors on the Administration of Chemical Restraint among Nurses in Intensive Care Units (ICUs): An Observational Study
|
Bahre Shakeri   , Salam Vatandost , Bijan Nouri , Sina Valiee * |
| Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran , sinavaliee@yahoo.com |
|
|
Abstract: (967 Views) |
Background and Aim: Chemical restraints are drugs used to restraint a patient's involuntary movements or emergency control of the patient's aggressive behavior and to cause sedation and pain relief, reduce symptoms, and reduce the likelihood of harming oneself or others. Improper use of chemical restraints can lead to complications in patients and can even delay the separation of patients under mechanical ventilation from the ventilator. The aim of this study was to investigate the effective factors in nurses' use of chemical restraints in patients admitted to intensive care units (ICUs).
Methods: This research was an observational study. The statistical society of the research included 160 hospitalized patients in ICUs at Kowsar hospital, Sanandaj, Iran. After eight hours of hospitalization and stability of their conditions, those patients in ICUs were assessed based on administrating of chemical restraint by nurses. Independent risk factors for the administration of chemical restraint were investigated by using the logistic regression model.
Results: Among the 160 patients admitted to ICUs, 105 patients (65/62%) underwent chemical restraints. The most common time to use chemical restraints was during the night shift and then the evening shift. Comparison of patients for whom chemical restraint was used or not, showed that the two groups in terms of smoking history (P=0/037), intubation (P=0/0001), dressing (P=0/001) and drain (P=0/001) as well as NGT (P=0/010), GCS (P=0/012), FOURscore (P=0/050), type of nursing shifts (P=0/017), restlessness (P =0/004) had a statistically significant difference. The relationship between BMI variables, alcohol addiction, drug addiction, having a catheter, fixator and traction, delirium, having a dressing, nurse to patient ratio, underlying disease and mechanical ventilation mode using Chemical restraints was not significant (P>0/05). The results of logistic regression analysis showed that between smoking (P=0/041, OR=3/232), being intubated (P=0/0001, OR=75/959), having a drain (P=0/016, OR=669), and FOUR score (P=0/0001, OR=0/944), there was a significant relationship using chemical restraints.
Conclusion: Regarding the results of the present study, it could be concluded that the administration of chemical restraints is increasing among nurses in ICUs. Therefore, the necessity of the clinical guidelines and policies for the administration of chemical restraint are highlighted. |
Article number: 6 |
| Keywords: Chemical restraint, Nurses, Intensive Care Unit |
|
|
Full-Text [PDF 1586 kb]
(863 Downloads)
|
Type of Study: Research |
Subject:
Special
Received: 2022/04/26 | Accepted: 2022/06/14 | Published: 2022/06/14
|
|
|
|
|
|
|
| Send email to the article author |
|
|
|
| Add your comments about this article |
|
|
|
