Geropsychiatric restraint use

被引:20
作者
DeSantis, J
Engberg, S
Rogers, J
机构
[1] UNIV PITTSBURGH, MED CTR, BENEDUM GERIATR CTR, PITTSBURGH, PA USA
[2] UNIV PITTSBURGH, SCH NURSING, PITTSBURGH, PA 15260 USA
[3] UNIV PITTSBURGH, SCH HLTH & REHABIL SCI, PITTSBURGH, PA USA
[4] UNIV PITTSBURGH, SCH MED, PITTSBURGH, PA USA
关键词
MECHANICAL RESTRAINTS; PHYSICAL RESTRAINTS; ELDERLY PATIENTS; SECLUSION; BEHAVIOR;
D O I
10.1111/j.1532-5415.1997.tb03205.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
OBJECTIVES: To investigate predictors and reasons for restraint use with geropsychiatric patients. DESIGN: A prospective, correlational study. SETTING: The geriatric unit of an acute-care psychiatric hospital. PARTICIPANTS: Twenty-one staff nurses and 131 patients admitted consecutively over a period of 6 months. MEASUREMENTS: Disruptive behaviors were measured with the Nursing Home Behavior Problem Scale (NHBPS), cognitive function was measured with the Mini-Mental State Examination (MMSE), mobility was measured with a Functional Mobility Screen (FMS), and reasons for restraint use were obtained with a questionnaire completed by nurses. RESULTS: Patients with a diagnosis of dementia, impaired mobility, or behavioral problems were more likely to be restrained. The most frequent reasons given by staff for restraint use were an unsteady gait and a risk of falling. The incidence of restraint use was 27.1%. CONCLUSION: The use of restraint with geropsychiatric patients may be more common than previously reported and requires further investigation.
引用
收藏
页码:1515 / 1518
页数:4
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