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| The development of standard physical restraint assessment scale for critically ill patients and its reliability and validity |
| YU Mingdi1 ZHANG Jingping2 ZHOU Yixia1 |
1.School of Nursing, Guizhou Medical University, Guizhou Province, Guiyang 550004, China;
2.Department of Emergency, the Affiliated Hospital of Guizhou Medical University, Guizhou Province, Guiyang 550004, China |
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Abstract Objective To design standard physical restraint assessment scale for critically ill patients and test the reliability and validity, which provide a standard data for the nurses to follow, and help the nurses to regularize their behavior based on this scale. Methods Sixteen experts were consulted by using Delphi method to develop scale evaluation items, and 80 patients in ICU of the Affiliated Hospital of Guizhou Medical University were assessed to examine the reliability and validity. Results Physical restraint assessment scale consisted of 3 dimensions and 8 items: attack risk assessment (sedation agitation degree, communication skills, pain, aggressive behavior), fall-bed risk (activity ability, the number of drug) and tube risk (tube risk degree, the number of tube). The correlation coefficients between each item and total score ranged from 0.61 to 0.83. The exploratory factor analysis extracted 3 common factors, and the cumulative contribution rate was 87.215%. Internal consistency reliability Cronbach's alpha coefficient was 0.889, and inter rater reliability was 0.946 (P ＜ 0.05). Conclusion Standard physical restraint assessment scale for critically ill patients can be used to assess patients comprehensively, and it has good reliability and validity, which can guide nurses to regularize its restraint behaviors.
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