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Year : 2018  |  Volume : 19  |  Issue : 1  |  Page : 96-102

Perception on physical restraints and its relationship to psychopathology

1 Junior Lecturer, College of Nursing, CMC, Vellore, India
2 Professor, College of Nursing, CMC, Vellore, India
3 Professor, CMC, Vellore, India
4 Senior Lecturer, ßiostatistics, CMC, Vellore, India

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The use of restraints in the management of violent patients dates back to the origin of Psychiatry. Despite its use, very little is studied about the impact of restraints on patients. This study was conducted to assess the perception on physical restraints and its relationship to psychopathology of patients with psychiatric disorder. Forty patients who needed restraints were selected using total enumeration sampling technique. Coercion Experience Scale was used to assess the perception of patients on physical restraints and positive and negative symptom scale was used to assess the severity of symptoms. Participants were interviewed after the termination of restraints. The findings revealed that 67.5% of patients were males. The diagnosis of 45% of the patients was Schizophrenia, 47.5% of them were restrained to prevent harm to others, and 87.5% were placed under four point restraints. The mean duration of restraints was 64.25 minutes. Subjective distress was high among 47.5% of the patients on physical restraints. Severity of symptoms was moderate among 87.5% of patients. There was a significant association between perception of physical restraints and religion of patients (p=0.039). Eliminating the use ofrestraints may not be possible, but it is possible to change the patients’ perception by providing patient centered, holistic, quality nursing care.

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