Development and Application of the Sleeve-type Restraints for Intensive Care Unit Patients

Hyun-young Ko; Jiyeon Kang

doi:10.7475/kjan.2012.24.6.665

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Ko and Kang: Development and Application of the Sleeve-type Restraints for Intensive Care Unit Patients

Original Article

Korean Journal of Adult Nursing 2013; 25(6): 665-678.

Published online: 31 December 2013

DOI: https://doi.org/10.7475/kjan.2012.24.6.665

Development and Application of the Sleeve-type Restraints for Intensive Care Unit Patients

Hyun-young Ko¹, Jiyeon Kang²

¹Dong-A University Medical Center, Busan, Korea.

²Department of Nursing, Dong-A University, Busan, Korea.

Corresponding author: Kang, Jiyeon. Department of Nursing, Dong-A University, 1 Dongdaesin-dong 3-ga, Seo-gu, Busan 602-714, Korea. Tel: +82-51-240-2871, Fax: +82-51-240-2920, jykang@dau.ac.kr

Received 12 July 2013 Revised 5 November 2013 Accepted 5 December 2013

Abstract

Purpose

The purpose of this study was to develop sleeve-type restraints and to compare the sleeve-type and conventional wrist restraints.

Methods

Forty four pairs of intensive care unit (ICU) patients and their families participated in the experiment. The nurses applied sleeve-type restraints to the patients in the experimental group, and wrist restraints to the control group. The trained research assistant measured ROMs, skin temperature, edema, and skin lesions of both upper extremities (UEs) before, 24, 48, and 72 hours after the restraints applied. The emotional response of family was measured 72 hours after the restraints applied. Thirty one ICU nurses evaluated the efficiency of both types of restraints.

Results

Compared to the control group, changes of ROMs, edema, and skin abrasions on both U/Es of the experimental group indicated a significant difference in physical side effects. The emotional response scores of the experimental group were significantly lower than those of the control group. The mean efficiency scores for the sleeve-type restraints were significantly higher than those for the wrist restraints.

Conclusion

The results indicate that the sleeve-type restraints are better than wrist restraints with respect to physical side effects, emotional responses of family members, and application efficiency.

Keywords: Intensive care units, Restraints, Side effects, Family, Emotional response

Figures and Tables

Figure 1

Sleeve-type restraints.

Table 1

Characteristics of Participants

Exp.=experimental group; Cont.=control group; DM=diabetes mellitus I/O=Intake/output KHNA=Korean hospital nurses association

Table 2

Homogeneity Test for Dependent Variables

Exp.=experimental group; Cont.=control group; ROM=range of motion.

Table 3

Comparison of Differences in the Dependent Variables over Time

Exp.=experimental group; Cont.=control group; G=group; T=time.

Table 4

Comparison of Skin Lesion Occurrence

Exp.=experimental group; Cont.=control group.

Table 5

Emotional Responses of Family Members and Application Efficacy

Notes

This article is a revision of the first author's master's thesis from Dong-A University.

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