Browse > Article
http://dx.doi.org/10.7475/kjan.2013.25.2.148

Emotional Response of ICU Patients' Family toward Physical Restraints  

Kang, Jiyeon (Department of Nursing, Dong-A University)
Lee, Eun-Nam (Department of Nursing, Dong-A University)
Park, Eun Young (Department of Nursing, College of Daedong)
Lee, Youngock (SICU, Kosin University Gaspel Hospital)
Lee, Mi Mi (SICU, Seoul National University Hospital)
Publication Information
Korean Journal of Adult Nursing / v.25, no.2, 2013 , pp. 148-156 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the emotional response of family members of physically restrained patients in the intensive care units (ICUs). Methods: The study subjects were 200 family members of ICU patients who had been on physical restraints in two university hospitals. Data were collected using the "Instrument of family's emotional response toward physically restrained patients". Results: The mean score of familial emotional response was 2.69 out of a possible 5. The subcategory of acceptance was the highest with 3.56 points followed by depression (3.02), helplessness (2.94), anxiety (2.87), shock (2.74), avoidance (2.64), and grudge (2.08). Multiple stepwise regression analysis indicated that the age of family members, side effects of restraints, and information provision were the variables influencing on negative emotional response of family. Conclusion: Family members showed slightly negative emotional response toward the physical restraints. This finding could be influenced by their limited knowledge of the need for the restraints. Educational programs or fact sheets to be given to family members may be helpful.
Keywords
Restraint; Physical; Family; Emotions; Intensive care units;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Vassallo, M., Wilkinson, C., Stockdale, R., Malik, N., Baker, R., & Allen, S. (2005). Attitudes to restraint for the prevention of falls in hospital. Gerontology, 51, 66-70.   DOI   ScienceOn
2 Yoo, J. M. (2011). Knowledge and attitudes about the use of the restraints in nurses. Unpublished master's thesis, Ajou University, Suwon.
3 Kim, M. Y. (2009). A study on the use of restraints in ICUs. Unpublished master's thesis, Keimyung University, Daegu.
4 Langley, G., Schmollgruber, S., & Egan, A. (2011). Restraints in intensive care units-a mixed method study. Intensive and Critical Care Nursing, 27, 67-75.   DOI   ScienceOn
5 Lee, E. N., Ha, S. J., & Kang, J. Y. (2008). Development and testing of an instrument to measure family's emotional response toward physically restrained patients. Journal of Korean Academy of Nursing, 38, 629-638.   DOI
6 Lee, M. M., & Kim, K. S. (2012). Comparison of physical injury, emotional response and unplanned self-removal of medical devices according to use of physical restraint in intensive care unit patients. Journal of Korean Clinical Nursing Research, 18, 296-306.
7 Martin, B., & Mathisen, L. (2005). Use of physical restraints in adult critical care: A bicultural study. American Journal of Critical Care, 14, 133-142.
8 McAdam, J. L., Dracup, K. A., White, D. B., Fontaine, D. K., & Puntillo, K. A. (2010). Symptom experiences of family members of intensive care unit patients at high risk for dying. Critical Care Medicine, 38, 1078-1085. http://dx.doi.org/ 10.1097/CCM.0b013e3181cf6d94   DOI   ScienceOn
9 Minnick, A., Leipzig, R. M., & Johnson, M. E. (2001). Elderly patients' reports of physical restraint experiences in intensive care units. American Journal of Critical Care, 10 , 168-171.
10 Myhren, H., Ekeberg, O., Langen, I., & Stokland, O. (2004). Emotional strain, communication, and satisfaction of family members in the intensive care unit compared with expectations of the medical staff: Experiences from a Norwegian university hospital. Intensive Care Medicine, 30, 1791-1798. Epub 2004 Jul 16. http://dx.doi.org/10.1007/s00134-004-2375-5   DOI
11 Newbern, V. B., & Lindsey, I. H. (1994). Attitudes of wives toward having their elderly husbands restrained. Geriatric Nursing, 15, 135-141.   DOI   ScienceOn
12 Park, S. (2005). A study of the influences of critically ill patient families' stress on the functional health of the patients: Focused on the moderating effect of family functioning. Unpublished master's thesis, Yonsei University, Seoul.
13 Plaszewska-Zywko, L., & Gazda, D. (2012). Emotional reactions and needs of family members of ICU patients. Anaesthesiology Intensive Therapy, 44, 145-149.
14 Bijttebier, P., Vanoost, S., Delva, D., Ferdinande, P., & Frans, E. (2001). Needs of relatives of critical care patients: Perceptions of relatives, physicians and nurses. Intensive Care Medicine, 27, 160-165.   DOI   ScienceOn
15 Schmidt, M., & Azoulay, E. (2012). Having a loved one in the ICU: The forgotten family. Current Opinion in Critical Care, 18, 540-547. http://dx.doi.org/10.1097/MCC.0b013e328357f141   DOI
16 Schwarzkopf, D., Behrend, S., Skupin, H., Westermann, I., Riedemann, N. C., Pfeifer, R., et al. (2013). Family satisfaction in the intensive care unit: A quantitative and qualitative analysis. Intensive Care Medicine, Advanced online publication. http://dx.doi.org/10.1007/s00134-013-2862-7.   DOI   ScienceOn
17 Benbenishty, J., Adams, S., & Endacott, R. (2010). Physical restraint use in intensive care units across Europe: The PRICE study. Intensive and Critical Care Nursing, 26, 241-245. http://www.doi.org/doi:10.1016/j.iccn.2010.08.003   DOI   ScienceOn
18 Bray, K., Hill, K., Robson, W., Leaver, G., Walker, N., O'Leary, M., et al. (2004). British Association of Critical Care Nurses position statement on the use of restraint in adult critical care units. Nursing in Critical Care, 9 , 199-212.   DOI   ScienceOn
19 Cho, Y. A., Kim, J. S., Kim, N. R., Choi, H. J., Jo, J. G., Lee, H. J., et al. (2006). A Study on the use of physical restraints in ICUs. Korean Journal of Adult Nursing, 18, 543-552.
20 Choi, E., & Song, M. (2003). Physical restraint use in Korean ICU. Journal of Clinical Nursing, 12 , 651-659.   DOI   ScienceOn
21 Chuang, Y. H., & Huang, H. T. (2007). Nurses' feelings and thoughts about using physical restraints on hospitalized older patients. Journal of Clinical Nursing, 16, 486-494.   DOI   ScienceOn
22 Davidson, J. E., Jones, C., & Bienvenu, O. J. (2012). Family response to critical illness: Postintensive care syndromefamily. Critical Care Medicine, 40, 618-624. http://dx.doi.org/10.1097/CCM.0b013e318236ebf9   DOI   ScienceOn
23 Haut, A., Kolbe, N., Strupeit, S., Mayer, H., & Meyer, G. (2010). Attitudes of relatives of nursing home residents toward physical restraints. Journal of Nursing Scholarship, 42 , 448-456.   DOI   ScienceOn
24 Farina-Lopez, E., Estevez-Guerra, G. J., Nunez, G. E., Montilla, F. M., & Santana, S. E. (2008). Descriptive study of the attitudes of family caregivers to the use of physical restraints: Preliminary results. Revista Espanola de Geriatria y Gerontologia, 43, 201-207.   DOI
25 Hardin, S. B., Magee, R., Vinson, M. H., Owen, M., Hyatt, E., & Stratmann, D. (1993). Patient and family perceptions of restraints. Journal of Holistic Nursing, 11, 383-397.   DOI   ScienceOn
26 Haut, A., Böther, N., Franke, N., & Hartmann, H. (2007). Physical restraints in geriatric care: Attitudes of nurses, patients and their families. Pflege Zeitschrift, 60, 206-209.
27 Kanski, G. W., Janelli, L. M., Jones, H. M., & Kennedy, M. C. (1996). Family reactions to restraints in an acute care setting. Journal of Gerontological Nursing, 22 (6), 17-22.
28 Kentish-Barnes, N., Lemiale, V., Chaize, M., Pochard, F., & Azoulay, É. (2009). Assessing burden in families of critical care patients. Critical Care Medicine, 37 (10 Suppl), S448-456. http://dx. doi.org/10.1097/CCM.0b013e3181b6e145   DOI   ScienceOn
29 Kim, M. Y. (2007). ICU patients' experience process of physical restraint. Korean Journal of Adult Nursing, 19, 583-592.
30 Lai, C. K., & Wong, I. Y. C. (2008). Families' perspectives on the use of physical restraints. Contemporary Nurse, 27, 177-184. http://doi.org/doi: 10.5555/conu.2008.27.2.177   DOI