Abstract

Patients and Nurses' Opinion about uses of physical restraint for psychiatric patients in Mental Health Hospital

Highlights

  • Physical restraint is any manual method or mechanical device attached to the patient's body that restricts freedom of movement and cannot be removed (1)

  • The main results revealed that a round one third of studied patients had negative opinions about use of physical restraint, and nearly half of them were average. In another hand more than half of studied nurses had positive opinion and nearly to one third were average regarding to using of physical restraints, so it was recommended that nurses should be involved in educational program about; therapeutic use of self and effective communication skills to improve their interaction with patient and encourage them to express gradually about their strong feeling, and educated about aggressive behaviors, it's dynamic and predisposing factors, and how applied physical restraints effectively with patients and debriefing following these procedure to minimize a negative effects on patients

  • Restrain means to place patient under control when necessary to prevent serious body harm to the patient or to another person(5).Despite physical restraint on psychiatric inpatient unite remains a highly controversial ethical issue, literature estimated that more than 20% of young and adult psychiatric patients are physically restrained at some point during their stay in the hospital (6)

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Summary

Introduction

Physical restraint is any manual method or mechanical device attached to the patient's body that restricts freedom of movement and cannot be removed (1) It is considered one of the earliest mean used to cope with people who are unable to control their behavior (2). Some of them are waist, vest, wrist or leg restraints, hand mitts, chairs with table tops, full side rails, net beds or enclosed beds, freedom' elbow splints, or tucking a patient's sheets so tightly that the patient cannot move, or tranquilizer chairs, strait jackets (9) Protection bed was another physical restraint it was a narrow bed, just wide enough to accommodate a person of average weight, with a lid that could be fastened to confine the patient while Blanket sheets restraint is used to restraint the whole body (10). It's either soft or leather band fastened around the ankle or leg (ankle) or around wrist or arm (wristlet) (11)

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