Intervención educativa a familiares sobre contención física en enfermos neurológicos, neuroquirúrgicos y neuropsiquiátricos / family educational intervention on physical restraint in neurological patients, neurosurgical and neuropsychiatric

Introduction: Physical restraint is the treatment of last resort to ensure patient safety. The patient usually has neurological conditions boxes psychomotor agitation, neuronal damage, I tremens caused by drugs, anesthesia or surgical trauma and acute episodes of schizophrenia, psychosis or other psychiatric conditions. Patient safety is at risk because the probes can be removed, self-harm, fall and other situations, so it is necessary to apply physical restraint for their safety. The interaction with the family is very important if the family is adequately informed, because it can notify the nurse about the risks to which is exposed the person subject because of physical restraint. Objective: To evaluate the knowledge acquired on physical restraint by relatives of patients neurological, neurosurgical and neuropsychiatric through educational intervention nurse. Methodology: This is a quantitative, analytical, exploratory, prospective and cross-sectional study; the sample is a convenience and an instrument with 20 dichotomous reagents used. Results: 40 questionnaires were collected. The age ranges from 18 to 82 years; There were more often female and greater affluence in the Neurology; patients receiving visits from their children more often and secondary schooling prevailed among visitors; 67.5% of people were informed about physical restraint, but only 17.5% received reports of a nurse. In 50% of people are watching that patients probes or catheters are not jalen and 47% raises guardrails to retire; 52.5% in nurse aid was requested. Conclusions: It is necessary to implement educational intervention strategies according to the schooling of the rightholder, regardless of gender training to allow the family to ensure patient safety and reduce the frequency of adverse events

Contenção física em hospital psiquiátrico e a prática da enfermagem / Contención física en hospital psiquiátrico y la práctica de enfermería / Physical restraint at a psychiatric hospital and nursing practice

Pesquisa descritiva realizada de fevereiro a junho de 2007, em um hospital psiquiátrico na região metropolitana de Curitiba, Paraná. Objetivo: investigar como ocorre a contenção física para paciente em hospital psiquiátrico. Participaram do estudo dois enfermeiros e seis auxiliares de enfermagem que atuam nas unidades de internação para pacientes agudos. Obteve-se os dados mediante entrevista semiestruturada e observação sistemática e apresentados nas categorias temáticas: A contenção como recurso terapêutico para o paciente agressivo; A comunicação verbal antes, durante e após a contenção física; Cuidados de enfermagem na técnica de contenção física. Os profissionais de enfermagem compreendem a técnica de contenção física como procedimento terapêutico para paciente em risco de agressividade, devendo ser utilizada com critérios preestabelecidos. A comunicação e o relacionamento interpessoal podem ajudar na resolução da situação e evitar a contenção física. Concluiu-se que deve haver maior discussão entre os profissionais da área de saúde mental sobre a temática.

Descriptive research developed from February to June, 2007, in a psychiatric hospital in the metropolitan region of Curitiba, Paraná, Brazil. Objective: to investigate physical restraint to the patient in a psychiatric hospital. Participants: two nurses and six nursing assistants of the internment units for acute patients. The data were obtained through semi-structured interviews and systematic observation and presented in thematic categories: the restraint as a therapeutic resource for the aggressive patient; verbal communication before, during, and after the physical restraint; nursing care in the technique of the physical restraint. Nursing professionals understand the technique of physical restraint as a therapeutic procedure with the patient in risk of aggressiveness, having to be used with pre-established criteria. Communication and interpersonal relationship can help in the resolution of the situation and avoid physical restraint. Conclusions show there should be more discussion on the subject in the area of mental health.

Investigación descriptiva desarrollada de febrero a junio de 2007, en un hospital psiquiátrico en la región metropolitana de Curitiba, Paraná-Brasil. Objetivo: investigar como ocurre la contención física para paciente en hospital psiquiátrico. Participaron del estudio dos enfermeros y seis auxiliares de enfermería que actúan en las unidades de internación para pacientes agudos. Se obtuvo los datos mediante entrevista semiestructurada y observación sistemática y presentados en categorías temáticas: La contención como recurso terapéutico para el paciente agresivo; La comunicación verbal antes, durante y después de la contención física; Cuidados de enfermería en la técnica de contención física. Los profesionales de enfermería comprenden la técnica de contención física como procedimiento terapéutico para paciente en riesgo de agresividad, debiendo ser utilizada con criterios preestablecidos. La comunicación y el relacionamiento interpersonal pueden ayudar en la resolución de la situación y evitar la contención física. Se llegó a la conclusión que debe haber más debates entre los profesionales del área de salud mental sobre el tema.