Restraint Management in Psychiatric Patients at RSKD Dadi South Sulawesi Province

A Nur Anna AS; St. Suarniati St. Suarniati; Abdul Halim

doi:10.36590/jika.v5i2.534

Authors

A Nur Anna AS Universitas Muhammadiyah Makassar https://orcid.org/0000-0001-9674-8694
St. Suarniati Program Studi Keperawatan, FKIK Universitas Muhammadiyah, Makassar, Indonesia
Abdul Halim Program Studi Keperawatan, FKIK Universitas Muhammadiyah, Makassar, Indonesia

DOI:

https://doi.org/10.36590/jika.v5i2.534

Keywords:

agression, mental health, psychiatric, restraint, schizopherenia

Abstract

Mental health is also defined as well-being when a person can realize his potential. This mechanism is suitable against stressors, productive, and capable of contributing to society. The prevalence of psychotropy in Indonesia is around 7 per mile. Schizophrenia can cause the patient to behave aggressively, which can cause injury to himself or others, including the nurse. The study aimed to determine the effectiveness of restraint management training for psychiatric patients at Dadi Special Regional Hospital (RSKD) in South Sulawesi Province. This study was a quasi-experiment on samples of intervention groups to see differences in rates between two groups before and after training and correlation. The result showed that attitudes before and after training with a significance value of 0,000 (p-value<0,005), and a 95% IK value had a significant ratio difference of 2,25–5,98, the result of knowledge and skills using wilcoxon test before and after training showed statistically meaningful result with a value of p=0,000, while the result of relationship between knowledge and a skill of 0,334 using the correlation test indicated a weak interpretation of correlation, and the p-value of 0,150 (p-value>0,05) showed no significance. This study concluded that there was a meaningful value in knowledge, skills, and attitudes before and after training, and significant mean differences did exist.

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Author Biographies

St. Suarniati, Program Studi Keperawatan, FKIK Universitas Muhammadiyah, Makassar, Indonesia

Program Studi Keperawatan, FKIK Universitas Muhammadiyah, Makassar, Indonesia

Abdul Halim, Program Studi Keperawatan, FKIK Universitas Muhammadiyah, Makassar, Indonesia

Program Studi Keperawatan, FKIK Universitas Muhammadiyah, Makassar, Indonesia

References

Akbas M, Oztunc G, and Torun S. 2019. Nurses’ Knowledge, Attitudes and Practices Towards the Use of Physical Restraints and Their Affecting Factors: A Multi-Centre Cross-Sectional Study. International Journal Of Caring Science, 12(2): 1023–1033.

Ambrosi TH, Marecic O, McArdle A, Sinha R, Gulati GS, Tong X, … Chan CKF. 2021. Aged skeletal stem cells generate an inflammatory degenerative niche. Nature, 597(7875): 256–262. https://doi.org/10.1038/s41586-021-03795-7.

Aslam H, Shoukat T, Ali SS, Tanveer S, Aslam Aqsa, Iqbal S. 2022. Knowledge, Attitude and Practices of Psychiatric Nurses Towards the Use of Physical Restraints In A Tertiary Care Hospital Lahore, Pakistan. Pakistan Journal of Medical and Health, 16(2): 1137–1139. https://doi.org/10.53350/pjmhs221621137.

Belete Habte. 2017. Use of Physical Restraints Among Patients with Bipolar Disorder in Ethiopian Mental Specialized Hospital, Outpatient Department: Cross-Sectional Study. International Journal Bipolar Disorders, 5(17):1-6. https://doi.org/10.1186/s40345-017-0084-6.

Didens P, ter Riet SMG, Vermeulen J, Boyette L, Latour C, Lieuwe and Haan L. 2021. Influence of Nursing Staff Characteristics on Seclusion in Acute Mental Health Care—a Prospective Two-Year Follow-Up Study. Archives of Psychiatric Nursing, 35: 491–498. https://doi.org/10.1016/j.apnu.2021.07.003.

Elhameed SHA, Elemam NI. 2020. Nurses Knowledge, Intention and Attitude Towards the Use of Physical Restraint in Geriatric Care. Journal of Nursing and Health Science, 9: 30-38. https://doi.org/10.9790/1959-0901063038

Elsatar. 2015. Nurses’ Knowledge, Attitude and Practice Towards Safety Physical Restraint Use in intensive Care Unit. Zagazig Nursing Journal, 11: 33–48.

Eskandari F, Abdullah KL, Zainal NZ, Wong LP. 2017. Use of Physical Restraint: Nurses’ Knowledge, Attitude, Intention and Practice and Influencing Factors. Journal of Clinical Nursing, 26: 4479–4488. https://doi.org/10.1111/jocn.13778.

Gandhi S, Poreddi V, Nagarajaiah, Palaniappan M, Reddy SSN, BadaMath S. 2018. Indian nurses’ knowledge, attitude and practice towards use of physical restraints in psychiatric patients. Invest Educ Enferm 36. https://doi.org/10.17533/udea.iee.v36n1e10.

Gerace Adam, et al. 2013. Restraint Use in Acute and Extended Mental Health Services for Older Persons. International Journal of Mental Health Nursing, 22: 545–557. https://doi.org/10.1111/j.1447-0349.2012.00872.x.

Goktas A, Buldukoglu K. 2017. Determination of Knowledge, Attitude and Practices of Using Physical Restraint of Nurses Working in Psychiatric Setting. Journal of Psychiatric Nursing, 9(1): 1–10. https://doi.org/10.14744/phd.2017.38247

Jordan HM. 2018. Varcarolis’ Foundations of Psychiatric-Mental Health Nursing a Clinical Approach. Elsevier.

Kassew T, Dejen Tilahun A, and Liyew B. 2020. Nurses’ Knowledge, Attitude, and Influencing Factors Regarding Physical Restraint Use in the Intensive Care Unit: A Multicenter Cross-Sectional Study. Critical Care Research Practice, 1-10 https://doi.org/10.1155/2020/4235683.

Kaya H, Dogu O, 2018. Intensive Care Unit Nurses’ Knowledge, Attitudes And Practices Related to Using Physical Restraints. Int J Caring Sci 11, 1–61.

Lee TK, Välimäki M, Lantta T. 2021. The knowledge, practice and attitudes of nurses regarding physical restraint: Survey results from psychiatric inpatient settings. Int J Environ Res Public Health,18. https://doi.org/10.3390/ijerph18136747.

Lim SG, Fong VJT. 2021. Critical Care Nurses’ Knowledge, Attitudes and Practices on the Usage of Physical Restrainer. IEJSME, 15:5–18.

Ozakar Akca S, Turan AP. 2023. Nurses’ Knowledge, Attitudes and Practices Related to Physical Restraint: the Case From Turkey. Universa Medicina, 40(1):12–20. https://doi.org/10.18051/UnivMed.2023.v42:6-12-20.

Pradhan N, Lama S, Mandal G, Shrestha E, 2019. Physical restraining: Nurses knowledge and practice in Tertiary Care Hospital of Eastern Nepal. Nurs Open, 6: 1029–1037. https://doi.org/10.1002/nop2.298.

Raveesh BN, Lepping P, Lanka SVK, Turner J, Krishna M. 2015. Patient and Visitor Violence Towards Staff on Medical and Psychiatric Wards in India. Asian Journal of Psychiatric, 52–55. https://doi.org/10.1016/j.ajp.2014.10.003.

Rentala S, Thimmajja SG, Bevoor P, Nanjegowda RB. 2021. Nurses’ Knowledge, Attitude and Practices on Use of Restraints at State Mental Health Care Setting: an Impact of In-Service Education Programme. Investigation y Education en Enfermetia, 39(1): 1-10. https://doi.org/10.17533/udea.iee.v39n1e12.

Riskesdas. 2013. Riset Kesehatan Dasar Tahun 2013. Jakarta: Kementerian Kesehatan RI.

Riskesdas. 2018. Hasil Riset Kesehatan Dasar Tahun 2018. Jakarta: Kementerian Kesehatan RI.

Picot J, Ndour PA, Lefevre SD, El Nemer W, Tawfik H, Galimand J, Da Costa L, Ribeil JA, de Montalembert M, Brousse V, Le Pioufle B, Buffet P, Le Van Kim C, Français O. 2015. A biomimetic microfluidic chip to study the circulation and mechanical retention of red blood cells in the spleen. Am J Hematol. 90(4):339-45. https://doi.org/10.1002/ajh.23941.

Stuart GW. 2012. Principles and Practice of Psychiatric Nursing. Elsevier

Thomann S, Gleichner G, Hahn S, Zwakhalen S. 2022. Attitudes of Nursing Staff in Hospitals Towards Restraint Use: a Cross-Sectional Study. International Journal of Environmental Research and Public Health, 19(12): 7144. https://doi.org/10.3390/ijerph19127144.

UU Kesehatan Jiwa. 2014. Undang - Undang Republik Indonesia tentang Kesehatan Mental No. 18 Tahun 2014.

WHO [World Health Organization]. 2019. Mental disorders. Geneva: WHO

Ye Junrong, et al. 2019. Physical Restraint in Mental Health Nursing: a Concept Analysis. International Journal of Nursing Sciences, 6(3): 343-348. https://doi.org/10.1016/j.ijnss.2019.04.002

Zeng JF, Cai HT, Li WM, Zou CM. 2020. Physical Restraint Using, Autonomy, Ethics Among Psychiatric Patients in Nursing Practice in China. Journal of Integrative Nursing, 2(3): 97. https://doi.org/10.4103/jin.jin_29_20

Zhou JS, et al. 2016. Prevalence of Aggression in Hospitalized Patients with Schizophrenia in China: a Meta-Analysis. Asia-Pacific Psychiatry, 8: 60–69. https://doi.org/10.1111/appy.12209.