장기요양시설 간호제공자들의 신체적 억제대 사용에 대한 인식과 태도 = Perceptions and attitude on use of physical restraints among caregivers in long term care facilities

국문 초록 (Abstract)

본 연구는 장기노인요양시설에 근무하는 간호제공자들의 신체적 억제대 사용에 대한 인식과 태도를 조사하고, 억제대 관련 교육경험과 교육요구를 파악하기 위하여 수행된 횡단적 서술연구이다. 연구대상자는 6개의 노인전문요양시설로부터 편의추출한 간호제공자 101명이었다. 자료수집은 구조화된 설문지를 이용하여 자기기입식 방법으로 이루어졌다. 대상자들이 신체적 억제대를 사용하는 이유로 가장 중요하게 인식하는 것은 낙상으로부터 노인을 보호하기 위해서와 치료적 처치의 방해로부터 노인을 보호하기 위함이었고, 신체적 억제대 사용에 대한 대안으로 가장 많이 기술한 것은 약물의 사용이었다. 대상자들은 장기노인요양시설에서의 신체적 억제대 사용은 환자의 안전을 보호하기위해 필요하다고 인식하는 한편 신체적 억제대 사용과 관련하여 윤리적 갈등을 느끼고 있었다. 또한 대상자들은 시설의 신체적 억제대 사용에 대한 지침의 필요성과 신체적 억제대 사용 감소를 위한 교육에 대한 요구도가 높았다. 시설거주 노인의 위엄성을 보장하고 신체적 억제대 사용에 대한 간호제공자의 윤리적 갈등을 줄이기 위해서는 신체적 억제대 사용에 대한 윤리적, 법적, 제도적 장치, 그리고 시설에서의 신체적 억제대 사용에 대한 지침이 필요하다. 또한 신체적 억제대 사용을 감소하고 신체적 억제대 사용에 대한 대안을 마련하기 위해서는 간호제공자들을 대상으로 하는 교육프로그램의 개발이 요구되며 개발된 교육 프로그램을 임상에 적용하고 그 효과를 평가하기 위한 연구도 필요할 것이다.

다국어 초록 (Multilingual Abstract)

The purpose of this study was to examine perceptions, attitude, educational experience and needs with regard to physical restraints among caregivers in long term care facilities. Using a self- administered questionnaire, data were collected from a convenience sample of 101 caregivers in six long term care facilities. Two most important reasons for using physical restraints were to prevent residents from falling or pulling out treatment tube. The most frequently mentioned alternative of physical restraint was administering psychotropics. They expressed ethical dilemmas when they apply restraints to the residents. About 52.5% of the subjects had educational experience on restraint use and 96% of them expressed educational needs for the proper use of restraints. Ethical, legal, regulatory, and other guidelines related to use of physical restraints in long term care facilities are necessary to ensure the dignity of the elderly and to relieve ethical dilemma among caregivers. Development and implementation of caregiver educational programs are in need to reduce the physical restraints use.

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