Short-term effects of an educational intervention on physical restraint use: A cluster randomized trial

被引：41

作者：

Huizing A.R. ^{[1
]}

Hamers J.P.H. ^{[1
]}

Gulpers M.J.M. ^{[2
]}

Berger M.P.F. ^{[3
]}

机构：

[1] Department of Health Care Studies, Section of Nursing Science, Maastricht University, 6200 MD Maastricht

[2] Verpleeghuis Lückerheide (Nursing Home), MeanderGroep Zuid-Limburg, 6463 CS Kerkrade

[3] Department of Methodology and Statistics, Maastricht University, 6200 MD Maastricht

来源：

BMC Geriatrics | / 6卷 / 1期

关键词：

Nursing Home; Educational Intervention; Nursing Home Resident; Nurse Specialist; Physical Restraint;

D O I：

10.1186/1471-2318-6-17

中图分类号：

学科分类号：

摘要：

Background: Physical restraints are still frequently used in nursing home residents despite growing evidence for the ineffectiveness and negative consequences of these methods. Therefore, reduction in the use of physical restraints in psycho-geriatric nursing home residents is very important. The aim of this study was to investigate the short-term effects of an educational intervention on the use of physical restraints in psycho-geriatric nursing home residents. Methods: A cluster randomized trial was applied to 5 psycho-geriatric nursing home wards (n = 167 residents with dementia). The wards were assigned at random to either educational intervention (3 wards) or control status (2 wards). The restraint status was observed and residents' characteristics, such as cognitive status, were determined by using the Minimum Data Set (MDS) at baseline and 1 month after intervention. Results: Restraint use did not change significantly over time in the experimental group (55%-56%), compared to a significant increased use (P < 0.05) in the control group (56%-70%). The mean restraint intensity and mean multiple restraint use in residents increased in the control group but no changes were shown in the experimental group. Logistic regression analysis showed that residents in the control group were more likely to experience increased restraint use than residents in the experimental group. Conclusion: An educational programme for nurses combined with consultation with a nurse specialist did not decrease the use of physical restraints in psycho-geriatric nursing home residents in the short term. However, the residents in the control group experienced more restraint use during the study period compared to the residents in the experimental group. Whether the intervention will reduce restraint use in the long term could not be inferred from these results. Further research is necessary to gain insight into the long-term effects of this educational intervention. © 2006 Huizing et al; licensee BioMed Central Ltd.

引用

共 33 条

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