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. 2011:2011:284604.
doi: 10.1155/2011/284604. Epub 2011 Sep 6.

The effect of a restraint reduction program on physical restraint rates in rehabilitation settings in Hong Kong

Claudia K Y Lai  1 , Susan K Y Chow, Lorna K P Suen, Ivan Y C Wong
Affiliations

The effect of a restraint reduction program on physical restraint rates in rehabilitation settings in Hong Kong

Claudia K Y Lai et al. Rehabil Res Pract. 2011.

Abstract

Background. In view of the adverse effects of using restraints, studies examining the use of restraint reduction programs (RRPs) are needed. Objectives. To investigate the effect of an RRP on the reduction of physical restraint rates in rehabilitation hospitals. Methods. A prospective quasi-experimental clinical trial was conducted. Demographic data, medical and health-related information on recruited patients from two rehabilitation hospitals, as well as facility data on restraint rates were collected. Results. The increase in the restraint rate in the control site was 4.3 times greater than that in the intervention site. Changes in the restraint mode, from continuous to intermittent, and the type of restraint used were found between the pre- and postintervention periods in both the control site and the intervention site. Discussion. Compared with that in the control site, the RRP in the intervention site helped arrest any increase in the restraint rate although it had no effect on physical restraint reduction. The shift of restraint mode from continuous to intermittent in the intervention site was one of the positive outcomes of the RRP.

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References

    1. Retsas AP. Survey findings describing the use of physical restraints in nursing homes in Victoria, Australia. International Journal of Nursing Studies. 1998;35(3):184–191. - PubMed
    1. Evans D, Fitzgerald M. The experience of physical restraint: a systematic review of qualitative research. Contemporary Nurse. 2002;13(2-3):126–135. - PubMed
    1. Hawes C, Mor V, Phillips CD, et al. The OBRA-87 nursing home regulations and implementation of the resident sssessment instrument: effects on process quality. Journal of the American Geriatrics Society. 1997;45(8):977–985. - PubMed
    1. Agens JE. Chemical and physical restraint use in the older person. British Journal of Medical Practitioners. 2010;3(1):p. 302.
    1. Huizing AR, Hamers JPH, Gulpers MJM, Berger MPF. A cluster-randomized trial of an educational intervention to reduce the use of physical restraints with psychogeriatric nursing home residents. Journal of the American Geriatrics Society. 2009;57(7):1139–1148. - PubMed

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