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

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Listed:
  • Yanbin Pan
  • Zhixia Jiang
  • Changrong Yuan
  • Lianhong Wang
  • Jingjing Zhang
  • Jing Zhou
  • Ming Tao
  • Mingtao Quan
  • Qiong Wu

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

Suggested Citation

  • Yanbin Pan & Zhixia Jiang & Changrong Yuan & Lianhong Wang & Jingjing Zhang & Jing Zhou & Ming Tao & Mingtao Quan & Qiong Wu, 2018. "Influence of physical restraint on delirium of adult patients in ICU: A nested case–control study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(9-10), pages 1950-1957, May.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:9-10:p:1950-1957
    DOI: 10.1111/jocn.14334
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    References listed on IDEAS

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    1. Nahed Attia Kandeel & Amal Kadry Attia, 2013. "Physical restraints practice in adult intensive care units in Egypt," Nursing & Health Sciences, John Wiley & Sons, vol. 15(1), pages 79-85, March.
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    Cited by:

    1. Angela Teece & John Baker & Helen Smith, 2020. "Identifying determinants for the application of physical or chemical restraint in the management of psychomotor agitation on the critical care unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(1-2), pages 5-19, January.
    2. Alvisa Palese & Matteo Danielis & Chiara Cicogna & Luca Grassetti, 2020. "Does missed nursing care influence the use of physical restraint and its duration in acute medical patients? Secondary analysis of a longitudinal study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(4), pages 929-940, December.
    3. I Seul Jeong & Mi-Kyoung Cho, 2023. "Factors Affecting Delirium in ICU Patients," IJERPH, MDPI, vol. 20(10), pages 1-12, May.

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