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CC BY 4.0 · Journal of Health and Allied Sciences NU 2024; 14(02): 230-234
DOI: 10.1055/s-0043-1769580
Original Article

Restraints Practices on Patients of the Psychiatric Wards in a Selected Hospital, Mangalore

C S Jayaprakash
1   Department of Psychiatry Nursing, Srinivas Institute of Nursing Sciences, Mangaluru, Karnataka, India
,
Sonia Karen Liz Sequera
3   Department of Community Health Nursing, Father Muller College of Nursing, Mangalore, Karnataka, India
,
Chanu Battacharya
2   Department of Psychiatric Nursing, Dr PVVF College of Nursing, Dr Vikhe Patil Foundations, Ahmednagar, Maharashtra, India
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Abstract

Background Restraints are one of the common procedures performed in various medical settings, especially intensive care units, and psychiatric wards. There are various forms of restraints, including chemical, physical, and mixed restraints. The primary reasons for using restraints are to prevent injury to the patient and others, and to reduce violent behavior in psychotic patients.

Objectives The aim of this article was to identify the types of restraints used for psychiatric patients and current restraint practices for patients in psychiatric wards of selected mental health facilities.

Methods This was a descriptive cross-sectional study conducted among 100 psychiatric patients selected using purposive sampling techniques. An observational checklist was used to assess restraint practice in patients who met study criteria.

Results The majority of patients (44%) received chemical restraints, some (28%) received physical restraints, but a minority (28%) used mixed restraints. In terms of practice, most patients (91%) received reasonably safe restraint care. An association was found between practice of restraints and restraints type with a p-value (0.001) less than 0.05 at a significance level of 0.05.

Conclusions The development of mandatory practice protocols is critical for better nursing care.

Keywords

mental healthcare setting - protocol - psychiatric nurse - restraints - restraints practices

Authors' Contributions

C.S.J (primary investigator) was involved in study design, data collection, and analysis. C.B. provided guidance. S.K.L.S contributed to study design, data analysis, and manuscript preparation.




Publication History

Article published online:
16 June 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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