Journal of Korean Gerontological Nursing (노인간호학회지)

Korean Gerontological Nursing (한국노인간호학회)
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Factors related to Use of Physical Restraints for Older Adults with Dementia in Long-term Care Settings

장기요양시설 및 요양병원 입소 치매대상자의 억제대 적용 관련 요인

  • Lee, Haejung (College of Nursing, Pusan National University) ;
  • Park, Myonghwa (College of Nursing, Chungnam National University) ;
  • Lee, Sung-Hwa (Department of Nursing, Gimhae College) ;
  • Lee, Mihyun (Department of Nursing, Daejeon Health Institute of Technology) ;
  • Go, Younghye (College of Nursing, Chungnam National University) ;
  • Kim, Chun-Gill (School of Nursing, Hallym University) ;
  • Kim, Jeong Sun (College of Nursing, Chonnam National University) ;
  • Kim, Kyung Sook (Department of Nursing, Namseoul University) ;
  • Lee, Young Whee (Department of Nursing, Inha University) ;
  • Lim, Young Mi (Department of Nursing, Yonsei University) ;
  • Song, Jun-Ah (College of Nursing, Korea University) ;
  • Park, Young Sun (Department of Nursing, Kyungbok University) ;
  • Youn, Jong Chul (Department of Psychiatry, Gyeonggi Provincial Hospital for the Elderly) ;
  • Kim, Ki Woong (Department of Psychiatry, College of Medicine, Seoul National University) ;
  • Hong, Gwi-Ryung Son (School of Nursing, Hanyang University)
  • 이해정 (부산대학교 간호대학) ;
  • 박명화 (충남대학교 간호대학) ;
  • 이성화 (김해대학교 간호대학) ;
  • 이미현 (대전보건대학교 간호학과) ;
  • 고영혜 (충남대학교 간호대학) ;
  • 김춘길 (한림대학교 간호대학) ;
  • 김정선 (전남대학교 간호대학) ;
  • 김경숙 (남서울대학교 간호학과) ;
  • 이영휘 (인하대학교 간호학과) ;
  • 임영미 (연세대학교 원주의과대학 간호학과) ;
  • 송준아 (고려대학교 간호대학) ;
  • 박영선 (경복대학교 간호학과) ;
  • 윤종철 (경기도 노인전문 용인병원 정신건강의학과) ;
  • 김기웅 (서울대학교 의과대학 정신과) ;
  • 홍(손)귀령 (한양대학교 간호학부)
  • Received : 2019.03.11
  • Accepted : 2019.08.06
  • Published : 2019.05.31
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Abstract

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 χ2 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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Acknowledgement

This research was supported by a grant of the Korea Health Technology R&D Project funded by Ministry of Health and Welfare, Republic of Korea (grant number: A092077).