Shock index (SI) of patients with physical restraint (hand fixation) in patients with intensive care

Heru Suwardianto; Sandy Kurniajati

doi:10.5281/zenodo.7425355

Authors

Heru Suwardianto Department of Critical Care Nursing, STIKES RS Baptis Kediri, East Java, Indonesia https://orcid.org/0000-0001-9127-8312
Sandy Kurniajati Departement of Public Health, STIKES RS Baptis Kediri, Easy Java, Indonesia

DOI:

https://doi.org/10.5281/zenodo.7425355

Keywords:

Hand fixation, intensive care unit, physical restraint, shock index

Abstract

Objective: Critically ill patients may experience a state of shock. Patients with critical conditions may experience agitation and also the need for an immobilization measure. Fixation or Restraint actions are carried out so that nursing and medical actions can be carried out and the aim is to improve the condition immediately. The purpose of this study was to look at the Shock Index (SI) in patients with physical restraint (hand fixation) in intensive care.

Materials and methods: The research method uses an Observational Description design. The population is patients who receive physical fixation interventions or physical restraint in the inpatient room at the Kediri Baptist Hospital. The study was conducted from June to July 2022. The sample size was 54 patients, using a purposive sampling technique with inclusion criteria namely total care patients, patients receiving restrain and having a RASS value > +1, patient exclusion i.e. patients receiving treatment less than twice 24 o'clock. The research variable is the shock index.

Results: The results showed that most of the respondents were female (64.8%) and male (35.2%). While the majority of respondents are over 60 years old (48.1%). Most of the respondents did not experience shock (70.4%) while those who experienced shock (29.6%). The results showed that there was no significant difference in terms of the index of shock in the control group and the experimental group (p=0.074).

Conclusions: There was no difference in the shock index in the experimental group and the control group in patients who were given restraint, so further research is needed regarding the factors that affect shck conditions in critical patients.

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