fa بررسی دانش،نگرش و عملکرد پرستاران بخش های مراقبت ویژه در زمینه کاربرد مهار فیزیکی و عوامل مرتبط به آن پرستاری Nursing پژوهشي اصیل Original Research <p dir="rtl" style="margin-right: 14.15pt"><strong>مقدمه</strong><strong>:</strong> استفاده از مهارفیزیکی بیماران یکی از چالش های بزرگ نظام های سلامت در جهان می‌باشد. هدف از این مطالعه تعیین دانش، نگرش و تبعیت پرستاران بخش های مراقبت ویژه از استانداردهای مهار فیزیکی بیماران و عوامل مرتبط با آنها بود.</p> <p dir="rtl" style="margin-right: 14.15pt"><strong>روش کار:</strong> در این پژوهش توصیفی-تحلیلی، 82 پرستار بخش های مراقبت ویژه در سه بیمارستان آموزشی همدان شرکت نمودند. ابزار پژوهش براساس مطالعات تدوین و دارای چهار پرسشنامه خود-اظهاری بود: اطلاعات دموگرافیک، دانش، نگرش و تبعیت در زمینه استانداردهای مهارفیزیکی. داده‌های گردآوری شده با نرم افزار <span dir="ltr">SPSS/16</span>، آمار توصیفی و آزمون های استنباطی مورد تجزیه و تحلیل قرار گرفت.</p> <p dir="rtl" style="margin-right: 14.15pt"><strong>یافته&shy;ها: </strong>5/58 درصد پرستاران در رده سنی40-31، 7/81 درصد زن و 90% دارای مدرک کارشناسی پرستاری بودند. اکثراً (8/87 درصد) تجربه استفاده از مهار فیزیکی و عوارض آن را داشتند. درمورد استانداردهای مهارفیزیکی، میانگین نمرات دانش پرستاران (73/1&plusmn;) 65/6 از 13، میانگین نمرات نگرش (94/4&plusmn;) 32/26 از 52 و میانگین نمرات تبعیت (17/4 &plusmn;) 79/20 از30 بود. بین دانش، نگرش با تبعیت، دانش، نگرش با تحصیلات، تبعیت با جنسیت، تبعیت با شرکت در دوره آموزش مهار فیزیکی ارتباط مثبت و معنی داری وجود داشت (05/0 <span dir="ltr">P<</span>).</p> <p dir="rtl" style="margin-right: 14.15pt"><strong>نتیجه نهایی: </strong>وضعیت دانش، نگرش و تبعیت پرستاران در زمینه مهار فیزیکی مطلوب نیست. لذا باتوجه به اهمیت موضوع مهار فیزیکی در بیماران تحت مراقبت ویژه، لازم است که در برنامه آموزش پرستاران به این مقوله توجه بیشتری شود.</p> <p style="margin-left: 7.1pt"><strong>Background:</strong>The use of physical restraints is a major challenge in all healthcare systems throughout the world. The&nbsp;<em>presentstudy</em>&nbsp;aimed to investigate the knowledge, attitude, and performance of intensive care unit nurses toward the use of physical restraints and to determine the factors affecting the mentioned variables.</p> <p style="margin-left: 7.1pt"><strong>Methods:</strong>In this descriptive-analytical research, the study population included nurses working in intensive care units of teaching hospitals in Hamadan, Iran. Questionnaires containing demographic characteristics and knowledge, attitude, and self-report practice of physical restraint usage were developed to collect data. Descriptive and inferential statistics were used to analyze the data in SPSS/16.</p> <p style="margin-left: 7.1pt"><strong>Result:</strong>Most nurses were female (81.7%), aged 31-40 years (58.5%), and held a Bachelor&rsquo;s degree in nursing (90.0%). Moreover, 87.8% of the participants had an experience of physical restraint use and facing its complications. The nurses&rsquo; mean scores of knowledge, attitude, and practice were 6.65 &plusmn; 1.73 (out of 13), 26.32 &plusmn; 4.94 (out of 52), and 20.79 &plusmn; 4.17 (out of 30). Knowledge and attitude were significantly related with education and practice. Furthermore, significant positive relationships were observed between of gender and practice and also practice and attending an educational course.</p> <p style="margin-left: 7.1pt"><strong>Conclusion:</strong>Nurses did not show acceptable levels of knowledge, attitude, and practice of physical restraint use. Therefore, nurse education programs need to pay more attention to the significant issue of physical restraint usage.</p> <p style="margin-left: 7.1pt"><strong>Background:</strong>The use of physical restraints is a major challenge in all healthcare systems throughout the world. The&nbsp;<em>presentstudy</em>&nbsp;aimed to investigate the knowledge, attitude, and performance of intensive care unit nurses toward the use of physical restraints and to determine the factors affecting the mentioned variables.</p> <p style="margin-left: 7.1pt"><strong>Methods:</strong>In this descriptive-analytical research, the study population included nurses working in intensive care units of teaching hospitals in Hamadan, Iran. Questionnaires containing demographic characteristics and knowledge, attitude, and self-report practice of physical restraint usage were developed to collect data. Descriptive and inferential statistics were used to analyze the data in SPSS/16.</p> <p style="margin-left: 7.1pt"><strong>Result:</strong>Most nurses were female (81.7%), aged 31-40 years (58.5%), and held a Bachelor&rsquo;s degree in nursing (90.0%). Moreover, 87.8% of the participants had an experience of physical restraint use and facing its complications. The nurses&rsquo; mean scores of knowledge, attitude, and practice were 6.65 &plusmn; 1.73 (out of 13), 26.32 &plusmn; 4.94 (out of 52), and 20.79 &plusmn; 4.17 (out of 30). Knowledge and attitude were significantly related with education and practice. Furthermore, significant positive relationships were observed between of gender and practice and also practice and attending an educational course.</p> <p style="margin-left: 7.1pt"><strong>Conclusion:</strong>Nurses did not show acceptable levels of knowledge, attitude, and practice of physical restraint use. Therefore, nurse education programs need to pay more attention to the significant issue of physical restraint usage.</p> بخش مراقبت ویژه ,پرستاران ,دانش , مهار فیزیکی Intensive Care Units ,Knowledge ,Nurses, Restraint,Physical 40 49 http://nmj.umsha.ac.ir/browse.php?a_code=A-10-449-1&slc_lang=fa&sid=1 S. Z. Saeidi زهرا سعیدی 100319475328460020933 100319475328460020933 Yes وزارت بهداشت و درمان M. Khatiban مهناز خطیبان mahnaz.khatiban@gmail.com 100319475328460020934 100319475328460020934 No وزارت بهداشت و درمان A. Khazaei افشین خزایی 100319475328460020937 100319475328460020937 No A. R. Soltanian علیرضا سلطانیان a sultanian@yahoo.com 100319475328460020935 100319475328460020935 No وزارت بهداشت و درمان F. Rahimi Bashar فرشید رحیمی بشر Fr_rahimibashar@yahoo.com 100319475328460020936 100319475328460020936 No وزارت بهداشت و درمان