Abstract
The physical restraint has been used in the treatment of madness of secular form, however, in the current psychosocial model the use of these resources is dwindling. The objectives were to identify the form of physical restraint known by the nurses of the institution and gathering their perceptions about the use of this feature. Descriptive study developed from February to June 2007 in a psychiatric hospital in the metropolitan region of Curitiba, Parana, Brazil. Participants: two nurses and six nursing assistants working in inpatient units for patients with acute symptoms. Data were collected through semi-structured interviews and submitted to thematic analysis according to the proposal of Minayo. The categories that emerged from the data were current modalities of physical restraint in the institution and Instruments of physical restraint in disuse. The subjects have between 16 and 35 years of experience in the field of mental health and used in practice such devices, most of which is in disuse. Individuals differ as to the effectiveness of the instruments of physical restraint. It was concluded that there is a need for further discussion and research on mental health practices, especially those relating to restrictive procedures.
Highlights
RESUMEN La contención física ha sido utilizada en el tratamiento de la locura a lo largo de los siglos, sin embargo, en el actual modelo psicosocial, el uso de estos recursos es cada vez menor
The physical restraint has been used in the treatment of madness of secular form, in the current psychosocial model the use of these resources is dwindling
The objectives were to identify the form of physical restraint known by the nurses of the institution and gathering their perceptions about the use of this feature
Summary
RESUMO A contenção física tem sido empregada no manejo da loucura ao longo de séculos, porém no modelo psicossocial vigente o uso deste recurso tende a diminuir. Os objetivos do estudo foram identificar as modalidades de contenção física conhecidas pelos profissionais de enfermagem da instituição em que este foi realizado e apreender suas percepções quanto ao uso deste recurso. Dessa forma, com a utilização de técnicas de abordagem e de comunicação terapêutica, bem como de um novo olhar sobre as práticas em saúde mental, o uso de métodos restritos tende a diminuir, ficando a cargo de situações extremas, ou até a ser eliminado, conforme é preconizado pelo modelo psicossocial(1,8-10). Para responder a esta questão propõem-se como objetivos: 1) identificar as modalidades de contenção física conhecidas pelos profissionais de enfermagem que atuam em instituição psiquiátrica; e 2) apreender suas percepções quanto ao uso deste recurso. Dos dados obtidos mediante as entrevistas com os participantes da pesquisa emergiram as categorias: 1) Modalidades vigentes de contenção física na instituição e; 2) Instrumentos de contenção física em desuso
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