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Original Article

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

Hyun-young Ko1, Jiyeon Kang2
Korean Journal of Adult Nursing 2013;25(6):665-678.
Published online: December 31, 2013

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: July 12, 2013   • Revised: November 5, 2013   • Accepted: December 5, 2013

© 2013 Korean Society of Adult Nursing

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  • 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.
  • Key Words: Intensive care units; Restraints; Side effects; Family; Emotional response

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

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Figure 1

Sleeve-type restraints.

kjan-25-665-g001.jpg
Table 1

Characteristics of Participants

kjan-25-665-i001.jpg

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

kjan-25-665-i002.jpg

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

Table 3

Comparison of Differences in the Dependent Variables over Time

kjan-25-665-i003.jpg

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

Table 4

Comparison of Skin Lesion Occurrence

kjan-25-665-i004.jpg

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

Table 5

Emotional Responses of Family Members and Application Efficacy

kjan-25-665-i005.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Factors Influencing Nursing Practice for Physical Restraints among Nurses in the Intensive Care Unit
      Da Eun Kim, Hye Sook Min
      Journal of Korean Critical Care Nursing.2022; 15(3): 62.     CrossRef
    • Perceptions and Intention of Nurses in Using Physical Restraints for Dementia Patients in Geriatric Hospitals
      Hyunju Lee, Kye Ha Kim
      Journal of Korean Gerontological Nursing.2016; 18(3): 159.     CrossRef
    • Development and Application of Glove Type Restraints for Elderly Patients in Nursing Care Facilities: A Pilot Study
      Kisook Kim, Nanju Park
      Journal of Korean Gerontological Nursing.2016; 18(3): 107.     CrossRef
    • Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards
      So-Yeon Ha, Yi-Kyung Ha, Myung-Hee Kim
      Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3293.     CrossRef

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    Development and Application of the Sleeve-type Restraints for Intensive Care Unit Patients
    Korean J Adult Nurs. 2013;25(6):665-678.   Published online December 31, 2013
    DOI: https://doi.org/10.7475/kjan.2012.24.6.665
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    • Citation for the content below
    Development and Application of the Sleeve-type Restraints for Intensive Care Unit Patients
    Korean J Adult Nurs. 2013;25(6):665-678.   Published online December 31, 2013
    DOI: https://doi.org/10.7475/kjan.2012.24.6.665
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    Figure

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    Development and Application of the Sleeve-type Restraints for Intensive Care Unit Patients
    Image
    Figure 1 Sleeve-type restraints.

    Figure 1

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

    Characteristics of Participants

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

    Homogeneity Test for Dependent Variables

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

    Comparison of Differences in the Dependent Variables over Time

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

    Comparison of Skin Lesion Occurrence

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

    Emotional Responses of Family Members and Application Efficacy

    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

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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