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[Mechanical restraint: its use in intensive cares].
V Martín Iglesias1, C Pontón Soriano, M T Quintián Guerra
1Unidad de Críticos II, Servicio de Medicina Intensiva, Hospital Clínico San Carlos, (HCSC), Madrid, España. tayrailf_3@yahoo.es
Mechanical restraint (MR) use in critical care is common, primarily to prevent treatment disruption. Nurses often initiate MR, highlighting the need for professional training on its legal and ethical implications.
Area of Science:
- Critical Care Medicine
- Patient Safety
- Nursing Practice
Background:
- Mechanical restraint (MR) is utilized in critical care settings.
- Understanding the impact and procedures of MR is crucial for patient safety and care quality.
Purpose of the Study:
- To analyze the impact and evaluate the procedure of mechanical restraint (MR) use in a critical care unit.
Main Methods:
- A descriptive, prospective study was conducted.
- Data collected included patient demographics, clinical presentation, indications for MR, techniques, and devices used.
- Statistical analysis involved mean, standard deviation, and percentages using SPSS 14.0.
Main Results:
- The study included 85 cases, with a 15.6% incidence of MR.
- The primary indication for MR was the risk of disrupting treatment processes (80%), with nurses making the initial decision in 94.1% of cases.
- Verbal containment was used in 100% of cases prior to MR, and pharmacological methods in 48.2%.
Conclusions:
- Mechanical restraint (MR) has a significant incidence in critical care.
- The main reason for MR is to prevent interruption of therapeutic processes.
- There is a need for enhanced professional training regarding the legal and ethical aspects of MR.
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