Influence of physical restraint on delirium of adult patients in ICU: A nested case–control study

Yanbin Pan, Zhixia Jiang, Changrong Yuan, Lianhong Wang, Jingjing Zhang, Jing Zhou, Ming Tao, Mingtao Quan and Qiong Wu

Journal of Clinical Nursing, 2018, vol. 27, issue 9-10, 1950-1957

Abstract: Aims and objectives To investigate the impact of physical restraint on delirium of adult patients in intensive care unit. Background Delirium is a common clinical syndrome in intensive care unit, correlated with various adverse clinical outcomes. Physical restraint is a precipitating factor for delirium; however, the effect of physical restraint on delirium, such as duration, number and appliance is still unclear. Design A nested case–control study. Methods A cohort of 593 intensive care unit patients were observed for 12 months, and 447 of them who received physical restraint were included for analysis. Delirium was assessed using the Confusion Assessment Method for the intensive care unit. During hospitalisation in intensive care unit, newly‐onset delirium patients (the delirium group), and nondelirium patients of similar age, same gender, and conditions of mechanical ventilation and sedative drug usage (the nondelirium group) were included as the matching criteria. Patient data were acquired by reviewing medical and nursing electronic records. Results Among the 447 patients that had been physically restrained, 178 (39.8%) developed delirium. Delirium risk in patients with restraint ≥6 days was 26.30 times higher than in those

Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:27:y:2018:i:9-10:p:1950-1957

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