KMID : 0895920190210020125
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Journal of Korean Gerontological Nursing 2019 Volume.21 No. 2 p.125 ~ p.134
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Factors related to Use of Physical Restraints for Older Adults with Dementia in Long-term Care Settings
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Lee Hae-Jung
Park Myoung-Hwa Lee Sung-Hwa Lee Mi-Hyun Go Young-Hye Kim Chun-Gill Kim Jeong-Sun Kim Kyung-Sook Lee Young-Whee Lim Young-Mi Song Jun-Ah Park Young-Sun Youn Jong-Chul Kim Ki-Woong Hong Gwi-Ryung Son
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Abstract
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Purpose: The purpose of this study was to investigate factors related to use of restraints for older adults with dementia in long-term care settings.
Methods: This study analyzed secondary data from the Nationwide Survey on Dementia Care in Korea (NaSDeCK). Demographic characteristics, disease characteristics, and functional characteristics were analyzed. Data were analyzed with x2 test, t-test, ANOVA, and logistic regression analysis.
Results: Among participants, 8.2% experienced use of restraints. ¡®Strap¡¯ (78.3%) was the most commonly used restraint and ¡®Behavioral problem¡¯ (51.3%) was a major reason for the restraint. Persons who have low levels of daily activity and cognition deficits, higher levels of dependence, histories of falls within the past 3 months, and living in long-term hospitals have greater probability of restraint experience.
Conclusion: Developing interventions for older adults who have a high risk of being restrained is essential to minimize unnecessary restraint use among older adults with dementia in long-term care settings. Further study exploring the interacting roles of organizational and staff factors related to use of physical restraints would provide more comprehensive perspectives in understanding this phenomenon.
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KEYWORD
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Physical restraint, Dementia, Aged, Long-term care
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