Diagnósticos de enfermagem em pessoas idosas hospitalizadas relacionados à contenção física
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Dec 19, 2024
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Resumo
Objetivos: Identificar na literatura consequências da contenção física em pessoas idosas hospitalizadas e mapear essas repercussões com indicadores clínicos de diagnósticos de enfermagem da NANDA-I. Métodos: Estudo de revisão integrativa cujo foco foi a comparação entre os achados com os indicadores clínicos de diagnósticos de enfermagem. O período da coleta de dados compreendeu abril a maio de 2024. Resultados: Após a triagem inicial da literatura foram identifiados 79 estudos que versavam sobre o tema, avaliados na íntegra em uma segunda etapa, resultando em 23 publicações. Resultados: Foram encontrados nove diagnósticos de enfermagem. Considerou-se “mobilidade física prejudicada” como fator determinante, dado ao fato de ocorrer, segundo a NANDA-I, quando há uma limitação independente e voluntária do corpo, a exemplo das restrições de mobilidade. As características definidoras dos diagnósticos representativos das consequências da contenção física foram estabelecidas a partir do mapeamento entre achados da literatura e elementos de diagnósticos contemplados na NANDA-I. Considerações finais: Faz-se necessário que os enfermeiros atentem sobre o uso indevido de contenção em pessoas idosas, assim como desenvolver protocolos para prevenir e tratar consequências negativas relacionadas a essa prática no ambito do cuidado.
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Como Citar
FernandesM. das G. M., AlcoforadoJ. M. da S. G., BarbosaT. P. L., CavalcantiE. P. L., & BeserraP. J. F. (2024). Diagnósticos de enfermagem em pessoas idosas hospitalizadas relacionados à contenção física. Revista Eletrônica Acervo Saúde, 24(12), e18977. https://doi.org/10.25248/reas.e18977.2024
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Referências
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4. BILLIG AE, et al. Delirium in the elderly admitted to an emergency hospital service. Rev. Bras. Enferm., 2022; 75(4): e20210054.
5. CANZAN F, et al. Nurses’ views on the use of physical restraints in intensive care: A qualitative study. Int. J. Environ. Res. Public Health, [S.L.], 2021; 18(18): 9646.
6. CAPELETTO CSG, et al. Contenção mecânica em idosos da atenção domiciliar: estudo transversal. Rev Gaúcha Enferm., 2021;42: e20190410.
7. CHOU MY, et al. The adverse effects of physical restraint use among older adult patients admitted to the internal medicine wards: A hospital-based retrospective cohort study. J Nutr Health Aging, [S.L.], 2020; 24(2): 160-165.
8. CLINICALTRIALS.GOV. Impact of a decision-making tool to guide the use of physical restraints in intensive care unit patients. a multicentre randomized stepped-wedge trial. 2022.
9. DANTAS HLL, et al. Como Elaborar Uma Revisão Integrativa: Sistematização Do Método Científico. Rev Recien., São Paulo, 2021; 12(37): 334-345.
10. DELVALLE R, et al. Mechanical Restraint in Nursing Homes in Brazil: a cross-sectional study. Rev Bras Enferm, [S.L.], 2020; 73(3): 1-8.
11. ERTUGRUL B e ÖZDEN, D. The effect of physical restraint on neurovascular complications in intensive care units. Australian Critical Care, 2020; 33: 30-38.
12. ESKANDARI F, et al. Use of physical restraint: Nurses’ knowledge, attitude, intention and practice and influencing factors. JCN, [S.L.], 2017; 26(23–24): 4479-4488.
13. FARIÑA-LÓPEZ E, et al. Physical Restraint Use With Elderly Patients. Nurs. Res., [S.L.], 2018; 67(1): 55-59.
14. FERRÃO SAS, et al. A cross-sectional study on nurses’ attitudes towards physical restraints use in nursing homes in Portugal. Nurs. Open, [S.L.], 2021; 8(4): 1571-1577.
15. FRANCISCO PMSB, et al. Prevalência de doenças crônicas em octogenários: dados da pesquisa nacional de saúde 2019. Ciência & Saúde Coletiva, [S.L.], 2022; 27(7): 2655-2665.
16. FUGGER G, et al. Psychiatric patients’ perception of physical restraint. Acta Psychiatrica Scandinavica, 2016; 133(3): 221–231.
17. FUNAYAMA M e TAKATA T. Psychiatric inpatients subjected to physical restraint have a higher risk of deep vein thrombosis and aspiration pneumonia. General Hospital Psychiatry, 2019; 62: 1–5.
18. HASAN AAH e ABULATTIFAH A. Psychiatric nurses’ knowledge, attitudes, and practice towards the use of physical restraints. Perspectives in Psychiatric Care, 2019; 55(2): 218–224.
19. HERDMAN T. H, et al. Diagnósticos de Enfermagem da NANDA-I. 12 ed. Porto Alegre: Artmed, 2021.
20. HOLMGREN A G, et al. Restraint in a neurosurgical setting: A mixed-methods study. World Neurosurgery, 2020; 133: 104-111.
21. INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA - IBGE. Censo Demográfico 2022. 2023.
22. JOANNA BRIGGS INSTITUTE. Levels of evidence. 2013.
23. LOCKWOOD C, et al. Chapter 2: systematic reviews of qualitative evidence. JBI evid. synth., 2020; 1-48.
24. MARRIAPAN JUNIOR M, et al. Assessment of Delirium as an Independent Predictor of Outcome among Critically Ill Patients in Intensive Care Unit: a prospective study. Indian Journal Of Critical Care Medicine, [S.L.], 2022; 26(6): 676-681.
25. NASCIMENTO MV e DIÓGENES VHD. Transição Demográfica no Brasil: Um Estudo Sobre o Impacto do Envelhecimento Populacional na Previdência Social. Revista Evidenciação Contábil & Finanças, 2020: 8(1).
26. NOMALI M, et al. Physical restraint and associated factors in adult patients in intensive care units: A cross-sectional study in north of Iran. Indian Society of Critical Care Medicine, 2022; 26(2): 192-198.
27. OKUMURA Y, et al. Association of physical restraint duration and undesirable outcomes amongst inpatients comorbid with dementia and pneumonia in acute care settings. Journal of Clinical Nursing, 2023; 32(17–18): 6394–6402.
28. PAIXÃO, L et al. ICU delirium burden predicts functional neurologic outcomes. Plos One, 2021; 16(12): e0259840.
29. PALESE A, et al. Does missed nursing care influence the use of physical restraint and its duration in acute medical patients? Secondary analysis of a longitudinal study. Nurs Health Sci, [S.L.], 2020; 22(4): 929-940.
30. SHARIFI A, et al. The principles of physical restraint use for hospitalized elderly people: an integrated literature review. Syst. Rev., [S.L.], 2021; 10(1): 2-10.
31. SOENO S, et al. Association between the use of physical restraint and functional decline among older inpatients admitted with pneumonia in an acute care hospital: a retrospective cohort study. Arch. Gerontol. Geriatr., [S.L.], 2021; 94(1): 1-6.
32. SOUZA LMS, et al. Factors associated with mechanical restraint in the hospital environment: a cross-sectional study. Rev Esc Enferm USP, [S.L.], 2019; 53(0): 1-8.
33. SPENNATO U, et al. Prevalence, Risk Factors and Outcomes Associated with Physical Restraint in Acute Medical Inpatients over 4 Years-A Retrospective Cohort Study. Geriatrics, [S.L.], 2023; 8(1): 15-26.
34. SULIMAN M. Prevalence of physical restraint among ventilated intensive care unit patients. Journal of Clinical Nursing, 2018; 27(19–20): 3490–3496.
35. THOMANN S, et al. Restraint use in the acute-care hospital setting: A cross-sectional multi-centre study. International Journal of Nursing Studies, 2021; 114: 103807.
36. WANG J, et al. Risk factors for the incidence of delirium in cerebrovascular patients in a Neurosurgery Intensive Care Unit: A prospective study. Journal of Clinical Nursing, 2018; 27(1–2): 407–415.
37. WANG Y, et al. A nomogram for predicting physical restraint of patients in intensive care unit. Emergency Medicine International, 2023; 1-8.
38. WEN X, et al. Application of Joanna Briggs Institute physical restraint standards to critical emergency department patients following CONSORT guidelines. Medicine, 2020; 99(50): e23108.
39. YE, J. et al. Physical restraint in mental health nursing: A concept analysis. Int. J. Nurs. Sci., [S.L.], 2019; 6(3): 343-348.
40. ZHANG M, et al. Incidence, predictors and health outcomes of delirium in very old hospitalized patients: a prospective cohort study. BMC geriatrics, 2022; 22(1).
2. AKIYAMA K et al. Association between physical restraint requirement and unfavorable neurologic outcomes in subarachnoid hemorrhage. Journal of Intensive Care, 2021; 9(24).
3. BERGER S, et al. Adverse events related to physical restraint use in intensive care units: a review of the literature. J. Intensive Care Med, [S.L.], 2023; 1(1): 1-8.
4. BILLIG AE, et al. Delirium in the elderly admitted to an emergency hospital service. Rev. Bras. Enferm., 2022; 75(4): e20210054.
5. CANZAN F, et al. Nurses’ views on the use of physical restraints in intensive care: A qualitative study. Int. J. Environ. Res. Public Health, [S.L.], 2021; 18(18): 9646.
6. CAPELETTO CSG, et al. Contenção mecânica em idosos da atenção domiciliar: estudo transversal. Rev Gaúcha Enferm., 2021;42: e20190410.
7. CHOU MY, et al. The adverse effects of physical restraint use among older adult patients admitted to the internal medicine wards: A hospital-based retrospective cohort study. J Nutr Health Aging, [S.L.], 2020; 24(2): 160-165.
8. CLINICALTRIALS.GOV. Impact of a decision-making tool to guide the use of physical restraints in intensive care unit patients. a multicentre randomized stepped-wedge trial. 2022.
9. DANTAS HLL, et al. Como Elaborar Uma Revisão Integrativa: Sistematização Do Método Científico. Rev Recien., São Paulo, 2021; 12(37): 334-345.
10. DELVALLE R, et al. Mechanical Restraint in Nursing Homes in Brazil: a cross-sectional study. Rev Bras Enferm, [S.L.], 2020; 73(3): 1-8.
11. ERTUGRUL B e ÖZDEN, D. The effect of physical restraint on neurovascular complications in intensive care units. Australian Critical Care, 2020; 33: 30-38.
12. ESKANDARI F, et al. Use of physical restraint: Nurses’ knowledge, attitude, intention and practice and influencing factors. JCN, [S.L.], 2017; 26(23–24): 4479-4488.
13. FARIÑA-LÓPEZ E, et al. Physical Restraint Use With Elderly Patients. Nurs. Res., [S.L.], 2018; 67(1): 55-59.
14. FERRÃO SAS, et al. A cross-sectional study on nurses’ attitudes towards physical restraints use in nursing homes in Portugal. Nurs. Open, [S.L.], 2021; 8(4): 1571-1577.
15. FRANCISCO PMSB, et al. Prevalência de doenças crônicas em octogenários: dados da pesquisa nacional de saúde 2019. Ciência & Saúde Coletiva, [S.L.], 2022; 27(7): 2655-2665.
16. FUGGER G, et al. Psychiatric patients’ perception of physical restraint. Acta Psychiatrica Scandinavica, 2016; 133(3): 221–231.
17. FUNAYAMA M e TAKATA T. Psychiatric inpatients subjected to physical restraint have a higher risk of deep vein thrombosis and aspiration pneumonia. General Hospital Psychiatry, 2019; 62: 1–5.
18. HASAN AAH e ABULATTIFAH A. Psychiatric nurses’ knowledge, attitudes, and practice towards the use of physical restraints. Perspectives in Psychiatric Care, 2019; 55(2): 218–224.
19. HERDMAN T. H, et al. Diagnósticos de Enfermagem da NANDA-I. 12 ed. Porto Alegre: Artmed, 2021.
20. HOLMGREN A G, et al. Restraint in a neurosurgical setting: A mixed-methods study. World Neurosurgery, 2020; 133: 104-111.
21. INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA - IBGE. Censo Demográfico 2022. 2023.
22. JOANNA BRIGGS INSTITUTE. Levels of evidence. 2013.
23. LOCKWOOD C, et al. Chapter 2: systematic reviews of qualitative evidence. JBI evid. synth., 2020; 1-48.
24. MARRIAPAN JUNIOR M, et al. Assessment of Delirium as an Independent Predictor of Outcome among Critically Ill Patients in Intensive Care Unit: a prospective study. Indian Journal Of Critical Care Medicine, [S.L.], 2022; 26(6): 676-681.
25. NASCIMENTO MV e DIÓGENES VHD. Transição Demográfica no Brasil: Um Estudo Sobre o Impacto do Envelhecimento Populacional na Previdência Social. Revista Evidenciação Contábil & Finanças, 2020: 8(1).
26. NOMALI M, et al. Physical restraint and associated factors in adult patients in intensive care units: A cross-sectional study in north of Iran. Indian Society of Critical Care Medicine, 2022; 26(2): 192-198.
27. OKUMURA Y, et al. Association of physical restraint duration and undesirable outcomes amongst inpatients comorbid with dementia and pneumonia in acute care settings. Journal of Clinical Nursing, 2023; 32(17–18): 6394–6402.
28. PAIXÃO, L et al. ICU delirium burden predicts functional neurologic outcomes. Plos One, 2021; 16(12): e0259840.
29. PALESE A, et al. Does missed nursing care influence the use of physical restraint and its duration in acute medical patients? Secondary analysis of a longitudinal study. Nurs Health Sci, [S.L.], 2020; 22(4): 929-940.
30. SHARIFI A, et al. The principles of physical restraint use for hospitalized elderly people: an integrated literature review. Syst. Rev., [S.L.], 2021; 10(1): 2-10.
31. SOENO S, et al. Association between the use of physical restraint and functional decline among older inpatients admitted with pneumonia in an acute care hospital: a retrospective cohort study. Arch. Gerontol. Geriatr., [S.L.], 2021; 94(1): 1-6.
32. SOUZA LMS, et al. Factors associated with mechanical restraint in the hospital environment: a cross-sectional study. Rev Esc Enferm USP, [S.L.], 2019; 53(0): 1-8.
33. SPENNATO U, et al. Prevalence, Risk Factors and Outcomes Associated with Physical Restraint in Acute Medical Inpatients over 4 Years-A Retrospective Cohort Study. Geriatrics, [S.L.], 2023; 8(1): 15-26.
34. SULIMAN M. Prevalence of physical restraint among ventilated intensive care unit patients. Journal of Clinical Nursing, 2018; 27(19–20): 3490–3496.
35. THOMANN S, et al. Restraint use in the acute-care hospital setting: A cross-sectional multi-centre study. International Journal of Nursing Studies, 2021; 114: 103807.
36. WANG J, et al. Risk factors for the incidence of delirium in cerebrovascular patients in a Neurosurgery Intensive Care Unit: A prospective study. Journal of Clinical Nursing, 2018; 27(1–2): 407–415.
37. WANG Y, et al. A nomogram for predicting physical restraint of patients in intensive care unit. Emergency Medicine International, 2023; 1-8.
38. WEN X, et al. Application of Joanna Briggs Institute physical restraint standards to critical emergency department patients following CONSORT guidelines. Medicine, 2020; 99(50): e23108.
39. YE, J. et al. Physical restraint in mental health nursing: A concept analysis. Int. J. Nurs. Sci., [S.L.], 2019; 6(3): 343-348.
40. ZHANG M, et al. Incidence, predictors and health outcomes of delirium in very old hospitalized patients: a prospective cohort study. BMC geriatrics, 2022; 22(1).