2021, Cilt 8, Sayı 2, Sayfa(lar) 127-133
Physical Restraint Use in Intensive Care Units: Causes and Consequences
Özge TURNA1, Ayla GÜRSOY2
1Hemşire, Sağlık Bilimleri Üniversitesi Trabzon Kanuni Eğitim ve Araştırma Hastanesi, Anestezi Yoğun Bakım Ünitesi, Trabzon, Türkiye
2Prof. Dr., Antalya Bilim Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Antalya, Türkiye
Keywords: Agitation, intensive care, intensive care nursing, physical restraint

Aim: This study was conducted to evaluate the reasons for using physical restraints in surgical intensive care units and the consequences that can be seen in patients.

Material and Methods: This descriptive study included 81 patients physically restrained in the intensive care unit and 1003 physical restraint evaluations made on these patients. The data collected by questionnaires, Richmond Agitation Sedation Scale and Glasgow Coma Scale were analyzed using Wilcoxon test, Friedman test, and Mann Whitney U test.

Results: Physical restraint was applied to 38% of the patients in the intensive care unit. Among the reasons for using physical restraint, the first is to prevent medical equipment removal (87.7%). It was found that the longer the physical restraint time of the patients, the frequency of development of skin and behavioral changes due to restraint increased. Skin changes in the physical restraint area were observed in 47.6% of the patients. The most common changes were skin rash (47.6%), swelling/edema (42.7%), and collapse (22.2%). It was found that as the physical restraint time increased, the agitation levels of the patients decreased significantly (p=0.000), and the mean scores of the Glasgow Coma Scale increased (p=0.002).

Conclusion: The results of this study show that physical restraint made in order not to harm the patients themselves causes problems that will negatively affect the comfort of the patients. Considering the result that the problems increase as the physical restraint time increases, it is recommended to make the decision of physical restraint very carefully and to evaluate the patients regularly throughout the process.