Effectivity of Restrain Management Training on Nurses at RSKD Dadi, South Sulawesi Province

A. N. Anna. AS, St Suarniati, Abdul Halim, Wahyunita Nur, Khairunnisah Khairunnisah
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Abstract

Background: Schizophrenia is a mental disorder with a very high prevalence in Indonesia, which is around 7 million per 1000 population (Riskedas, 2018). Schizophrenia can cause sufferers to behave aggressively, which can cause injury to the patient himself or other people, including nurses. If the client's aggressive behavior increases, the actions that can be applied are crisis management and restraint strategies. Objective: to determine the effect of restraint management on the knowledge, skills, and attitudes of nurses at RSKD DADI, South Sulawesi Province. Method: The type of research used is a quasi-experiment. The sample was divided into two groups: intervention and control groups. This research was conducted in November 2022. The population for this study were nurses at RSKD DADI South Sulawesi Province; the sample was determined by consecutive sampling, namely 20 people in the intervention group and 20 people in the control group, so the total sample was 40 people. Results: There is a significant difference in the mean knowledge of nurses regarding restraint management between the control group (M=7.75, SD=1.585) and the intervention group (M=10.05, SD=3.170) with a t-test value of 3.359, and a p-value of <0.003. There is a significant difference in the mean skills of nurses between the control group (M=29.85, SD=3.92) and the intervention group (M=34.25, SD=1.743) with a t-test value of 5.646 and a p-value of <0.000. There is a significant difference in the attitudes of nurses between the control group (M=21.35, SD=4.107) and the intervention group (M=24.70, SD=5.611) with a t-test value of 2.258, and a p-value of <0.036. Conclusion: The research findings showed a significant increase in the mean scores of knowledge, attitude, and skills after participating in the restraint training.
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对南苏拉威西省达迪 RSKD 的护士进行约束管理培训的效果
背景:精神分裂症是一种精神疾病,在印尼的发病率非常高,每1000人中约有700万人患有精神分裂症(Riskedas,2018年)。精神分裂症会导致患者出现攻击性行为,从而对患者本人或包括护士在内的其他人造成伤害。如果患者的攻击性行为增加,可以采取的行动是危机管理和约束策略。目的:确定约束管理对南苏拉威西省 RSKD DADI 的护士的知识、技能和态度的影响。研究方法:采用的研究类型为准实验。样本分为两组:干预组和对照组。本研究于 2022 年 11 月进行。研究对象为南苏拉威西省 RSKD DADI 的护士;样本通过连续抽样确定,即干预组和对照组各 20 人,因此样本总数为 40 人。研究结果对照组(M=7.75,SD=1.585)和干预组(M=10.05,SD=3.170)护士对约束管理的平均知识水平存在明显差异,t检验值为3.359,P值<0.003。对照组(M=29.85,SD=3.92)和干预组(M=34.25,SD=1.743)护士的平均技能有明显差异,t 检验值为 5.646,P 值<0.000。对照组(M=21.35,SD=4.107)和干预组(M=24.70,SD=5.611)护士的态度有明显差异,t 检验值为 2.258,P 值<0.036。结论研究结果表明,参加约束培训后,学员在知识、态度和技能方面的平均得分均有明显提高。
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