본 연구는 노인요양시설의 신체적 억제대 적용 프로토콜을 개발하기 위한 첫 단계 연구로서, 노인들의 신체적 억제대 적용에 영향을 주는 사고유발 위험요인에 대하여 선행연구 분석을 시도하였다. 사고유발 위험요인은 하인리히가 제시한 사고 발생 요인 3가지를 중심으로, 우리나라 신체적 억제대에 대한 연구가 주로 시작된 1995년부터 2009년까지의 선행연구를 분석하였다. 이를 통해 노인요양시설에서의 신체적 억제대 적용에 필요한 프로토콜의 개발뿐만 아니라 노인들의 사고유발 위험요인을 예방, 관리할 수 있는 간호중재 전략을 개발하는데 필수적인 기초자료를 제공할 수 있을 것이다.
Purpose: The purpose of this study was to analyze risk factors leading to accidents associated with the use of physical restraints in nursing home based on Heinrich’s theory of Industrial Accident Prevention. Methods: A literature review based on Oxman method was utilized. Previous literature from 1995 to 2009 was searched electronically using the key words \"fall, restraint, psychomotor, agitation, Alzheimer disease, dementia, wandering behavior, wandering, nursing home, skilled nursing facility\" from the database of RICH, RISS4U, Medline, CINAHL Cochrane Library. Twenty-six studies were identified which linked the cause of accidents and physical restraints. Results: Ten risk factors leading to accident were identified that cause the usage of physical restraints. Conclusion: The study results indicate that risk factors leading to accident associated with the use of physical restraints in nursing home are age among demographic factors and dependence in function, walking dependence, previous falls, drugs, incontinence, vision, cognition, and depression among personal deficiency factors, and behavior problems among unsafe behavior factors. Therefore, there is a need to develop protocols that leads to proper usage of physical restraints in nursing home.
서론 연구방법 연구결과 논의 결론 REFERENCES
