Prevalence of Physical Restraint and Associated Factors Among Intensive Care Unit Patients in Addis Ababa Hospitals, Ethiopia: a Dual-Center Cross-Sectional Study
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Date
2024-12-13
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Addis Ababa University
Abstract
Introduction: Research done in most parts of the world demonstrates the high prevalence of physical restraint use in the intensive care unit. Though clinical use of physical restraint in Ethiopia is widely practiced evidence lacks to show its magnitude. Knowing the prevalence of physical restraint added a reference to the associated factors that might be used in the future formulation of policy and guidelines regarding the use of physical restraint in the intensive care unit.
Objective: To assess the prevalence of physical restraint and associated factors among intensive care unit patients in two selected hospitals in Addis Ababa, Ethiopia from August- September 2024
Method: Institution-based cross-sectional study design was implemented in the two selected hospitals in Addis Ababa. A total of 120 patients were enrolled in the study. Data was collected using an interviewer-administered structured questionnaire and Physical Restraint Evaluation Survey observational survey tool for 2 consecutive months. One nurse from each hospital was collecting the data. Questioners were coded and data was cleaned then exported to SPSS version 27 for analysis. Descriptive analysis was used to characterize selected variables. A bivariate logistic regression was conducted and a variable with a P value of <0.25 was analyzed by multivariable logistic regression. After multivariable logistic regression, a P value of <0.05 was used to declare statistical significance.
Result: The prevalence of physical restraint use was found to be 40.9%. Factors associated with the use of physical restraint were mechanical ventilator, age, and