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Geropsychiatric Restraint Use
Author(s) -
DeSantis Joe,
Engberg Sandra,
Rogers Joan
Publication year - 1997
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1997.tb03205.x
Subject(s) - medicine , dementia , incidence (geometry) , prospective cohort study , nursing homes , gerontological nursing , cognition , psychiatry , physical therapy , nursing , disease , physics , surgery , pathology , optics
OBJECTIVES : To investigate predictors and reasons for restraint use with geropsychiatric patients. DESIGN : A prospective, correlational study. SETTING : The geriatric unit of an acute‐care psychiatric hospital. PARTICIPANTS : Twenty‐one staff nurses and 131 patients admitted consecutively over a period of 6 months. MEASUREMENTS : Disruptive behaviors were measured with the Nursing Home Behavior Problem Scale (NHBPS), cognitive function was measured with the Mini‐Mental State Examination (MMSE), mobility was measured with a Functional Mobility Screen (FMS), and reasons for restraint use were obtained with a questionnaire completed by nurses. RESULTS : Patients with a diagnosis of dementia, impaired mobility, or behavioral problems were more likely to be restrained. The most frequent reasons given by staff for restraint use were an unsteady gait and a risk of falling. The incidence of restraint use was 27.1%. CONCLUSION : The use of restraint with geropsychiatric patients may be more common than previously reported and requires further investigation. J Am Geriatr Soc 45:1515–1518, 1997.