Physical Restraints in Geriatric Care in Sweden: Prevalence and Patient Characteristics

OBJECTIVE: Physical restraints are used frequently in geriatric care to promote the safety of frail older patients. This study investigated the prevalence of the use of physical restraints in geriatric care and the way in which patient characteristics are related to the use of physical restraints. D...

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Published in:Journal of the American Geriatrics Society
Main Authors: Karlsson, Stig, Bucht, Gösta, Eriksson, Sture, Sandman, P.O.
Format: Article in Journal/Newspaper
Language:English
Published: Wiley 1996
Subjects:
Online Access:http://dx.doi.org/10.1111/j.1532-5415.1996.tb01406.x
https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1532-5415.1996.tb01406.x
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spelling crwiley:10.1111/j.1532-5415.1996.tb01406.x 2024-06-02T08:12:12+00:00 Physical Restraints in Geriatric Care in Sweden: Prevalence and Patient Characteristics Karlsson, Stig Bucht, Gösta Eriksson, Sture Sandman, P.O. 1996 http://dx.doi.org/10.1111/j.1532-5415.1996.tb01406.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1532-5415.1996.tb01406.x http://onlinelibrary.wiley.com/wol1/doi/10.1111/j.1532-5415.1996.tb01406.x/fullpdf en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Journal of the American Geriatrics Society volume 44, issue 11, page 1348-1354 ISSN 0002-8614 1532-5415 journal-article 1996 crwiley https://doi.org/10.1111/j.1532-5415.1996.tb01406.x 2024-05-03T11:46:30Z OBJECTIVE: Physical restraints are used frequently in geriatric care to promote the safety of frail older patients. This study investigated the prevalence of the use of physical restraints in geriatric care and the way in which patient characteristics are related to the use of physical restraints. DESIGN: A point prevalence study of patients cared for in various types of geriatric settings. SETTING: Eight nursing homes, 15 old people's homes, a somatic geriatric clinic, and a psychogeriatric clinic in a health care district in northern Sweden. PARTICIPANTS: A total of 1325 patients, mean age 82 years, 64% of whom were women. MEASUREMENTS: The Multi‐Dimensional Dementia Assessment Scale (MDDAS) was used to measure motor function, vision, hearing, speech, ADLs, behavioral symptoms, psychiatric symptoms, use of psychoactive drugs, and the physical and psychological workload of the staff. In addition, questions concerning the use of physical restraints were added to the instrument. RESULTS: Twenty‐four percent of the patients were physically restrained. The highest prevalence was found in nursing homes and psychogeriatric care. Physical restraints were found to relate most strongly to cognitive impairment, impaired ADLs, and speech and walking ability. Ninety‐four percent of the restrained patients were cognitively impaired. Other variables relating to the use of physical restraints were psychiatric symptoms and behavioral disturbances. CONCLUSIONS: This study has shown that physical restraints are used frequently in geriatric care in Sweden and that cognitive and physical impairments relate very closely to the use of physical restraints. J Am Geriatr Soc 44:1348–1354, 1996 . Article in Journal/Newspaper Northern Sweden Wiley Online Library Journal of the American Geriatrics Society 44 11 1348 1354
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language English
description OBJECTIVE: Physical restraints are used frequently in geriatric care to promote the safety of frail older patients. This study investigated the prevalence of the use of physical restraints in geriatric care and the way in which patient characteristics are related to the use of physical restraints. DESIGN: A point prevalence study of patients cared for in various types of geriatric settings. SETTING: Eight nursing homes, 15 old people's homes, a somatic geriatric clinic, and a psychogeriatric clinic in a health care district in northern Sweden. PARTICIPANTS: A total of 1325 patients, mean age 82 years, 64% of whom were women. MEASUREMENTS: The Multi‐Dimensional Dementia Assessment Scale (MDDAS) was used to measure motor function, vision, hearing, speech, ADLs, behavioral symptoms, psychiatric symptoms, use of psychoactive drugs, and the physical and psychological workload of the staff. In addition, questions concerning the use of physical restraints were added to the instrument. RESULTS: Twenty‐four percent of the patients were physically restrained. The highest prevalence was found in nursing homes and psychogeriatric care. Physical restraints were found to relate most strongly to cognitive impairment, impaired ADLs, and speech and walking ability. Ninety‐four percent of the restrained patients were cognitively impaired. Other variables relating to the use of physical restraints were psychiatric symptoms and behavioral disturbances. CONCLUSIONS: This study has shown that physical restraints are used frequently in geriatric care in Sweden and that cognitive and physical impairments relate very closely to the use of physical restraints. J Am Geriatr Soc 44:1348–1354, 1996 .
format Article in Journal/Newspaper
author Karlsson, Stig
Bucht, Gösta
Eriksson, Sture
Sandman, P.O.
spellingShingle Karlsson, Stig
Bucht, Gösta
Eriksson, Sture
Sandman, P.O.
Physical Restraints in Geriatric Care in Sweden: Prevalence and Patient Characteristics
author_facet Karlsson, Stig
Bucht, Gösta
Eriksson, Sture
Sandman, P.O.
author_sort Karlsson, Stig
title Physical Restraints in Geriatric Care in Sweden: Prevalence and Patient Characteristics
title_short Physical Restraints in Geriatric Care in Sweden: Prevalence and Patient Characteristics
title_full Physical Restraints in Geriatric Care in Sweden: Prevalence and Patient Characteristics
title_fullStr Physical Restraints in Geriatric Care in Sweden: Prevalence and Patient Characteristics
title_full_unstemmed Physical Restraints in Geriatric Care in Sweden: Prevalence and Patient Characteristics
title_sort physical restraints in geriatric care in sweden: prevalence and patient characteristics
publisher Wiley
publishDate 1996
url http://dx.doi.org/10.1111/j.1532-5415.1996.tb01406.x
https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1532-5415.1996.tb01406.x
http://onlinelibrary.wiley.com/wol1/doi/10.1111/j.1532-5415.1996.tb01406.x/fullpdf
genre Northern Sweden
genre_facet Northern Sweden
op_source Journal of the American Geriatrics Society
volume 44, issue 11, page 1348-1354
ISSN 0002-8614 1532-5415
op_rights http://onlinelibrary.wiley.com/termsAndConditions#vor
op_doi https://doi.org/10.1111/j.1532-5415.1996.tb01406.x
container_title Journal of the American Geriatrics Society
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