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KMID : 1170320160220010039
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Korean Journal of Health Economics and Policy
2016 Volume.22 No. 1 p.39 ~ p.58
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Physical restraints use and associated factors among older adults in nursing homes
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Yoo Ah-Reum
Kim Hong-Soo
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Abstract
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Purpose: This study aims to examine the extent of physical restraint use and associated patientand facility-level factors among older adults in nursing homes in Korea.
Method: The sample includes 307 randomly selected older residents in 10 nursing homes. Data on the functional status of these older adults and the services they received were collected using the Korean version of interRAI LTCF. Data on facility characteristics including staffing level were also collected through chart review and confirmed by staff. As physical restraints, full-side bed rails, trunk restraints, and chairs preventing rising were observed in this study. Multi-level, multivariate analyses were conducted.
Results: About 78.2% of older residents in the sample were restrained by full-side bed rails and 31.9% by trunk restraints and/or chairs preventing rising. Restraint use was associated with several patient (cognition, ADL, and dependence in moving around) and also facility (size, ownership, type, staffing level) characteristics.
Conclusion: This is the first empirical study on physical restraint use among older adults in nursing homes in Korea. Physical restraint use was prevalent, and several patient- and facility-level factors were simultaneously associated. Needed are facility-level strategies to decrease physical restraints and policies to promote such strategies.
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KEYWORD
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Physical restraint, nursing homes, nurse staffing, older adults
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