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KMID : 0895920120140010001
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Journal of Korean Gerontological Nursing
2012 Volume.14 No. 1 p.1 ~ p.11
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Risk Factors leading to Accidents associated with the use of Physical Restraints in Nursing Homes
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Lim Mi-Hye
Ko Il-Sun
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Abstract
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Purpose: The purpose of this study was to analyze risk factors leading to accidents associated with the use of physical restraints in nursing home based on Heinrich’s theory of Industrial Accident Prevention.
Methods: A literature review based on Oxman method was utilized. Previous literature from 1995 to 2009 was searched electronically using the key words "fall, restraint, psychomotor, agitation, Alzheimer disease, dementia, wandering behavior, wandering, nursing home, skilled nursing facility" from the database of RICH, RISS4U, Medline, CINAHL Cochrane Library. Twenty-six studies were identified which linked the cause of accidents and physical restraints.
Results: Ten risk factors leading to accident were identified that cause the usage of physical restraints.
Conclusion: The study results indicate that risk factors leading to accident associated with the use of physical restraints in nursing home are age among demographic factors and dependence in function, walking dependence, previous falls, drugs, incontinence, vision, cognition, and depression among personal deficiency factors, and behavior problems among unsafe behavior factors. Therefore, there is a need to develop protocols that leads to proper usage of physical restraints in nursing home.
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KEYWORD
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Physical restraint, Accidents, Nursing homes
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