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What factors contribute to the need for physical restraint in institutionalized residents in Taiwan?
BACKGROUND: In Taiwan, physical restraint is commonly used in institutions to protect residents from falling or injury. However, physical restraint should be used cautiously to avoid side effects, such as worse cognition, mobility, depression, and even death. OBJECTIVES: To identify the rate of phys...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671315/ https://www.ncbi.nlm.nih.gov/pubmed/36395117 http://dx.doi.org/10.1371/journal.pone.0276058 |
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author | Chien, Ching-Fang Huang, Ling-Chun Chang, Yang-Pei Lin, Chung-Fen Hsu, Chih-Cheng Yang, Yuan-Han |
author_facet | Chien, Ching-Fang Huang, Ling-Chun Chang, Yang-Pei Lin, Chung-Fen Hsu, Chih-Cheng Yang, Yuan-Han |
author_sort | Chien, Ching-Fang |
collection | PubMed |
description | BACKGROUND: In Taiwan, physical restraint is commonly used in institutions to protect residents from falling or injury. However, physical restraint should be used cautiously to avoid side effects, such as worse cognition, mobility, depression, and even death. OBJECTIVES: To identify the rate of physical restraint and the associated risk factors in institutionalized residents in Taiwan. METHODS: A community-based epidemiological survey was conducted from July 2019 to February 2020 across 266 residential institutions. Among the estimated 6,549 residents being surveyed, a total of 5,752 finished the study. The questionnaires were completed by residents, his/her family or social workers. The cognition tests were conducted by specialists and a multilevel analysis approach was used to identify cognition/disability/medical history/special nursing care/BPSD risk factors for physical restraints. RESULTS: Of the 5,752 included institutionalized residents, 30.2% (1,737) had been previously restrained. Older age, lower education level, lower cognitive function, higher dependence, residents with cerebrovascular disease, pulmonary disease, dementia, and intractable epilepsy, all contributed to a higher physical restraint rate, while orthopedic disease and spinal cord injury were associated with a lower physical restraint rate. Furthermore, residents with special nursing care had a higher restraint rate. Residents with most of the behavior and psychological symptoms were also associated with an increased restraint rate. CONCLUSIONS: We studied the rate of physical restraint and associated risk factors in institutionalized residents in Taiwan. The benefits and risks of physical restraint should be evaluated before application, and adjusted according to different clinical situations. |
format | Online Article Text |
id | pubmed-9671315 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-96713152022-11-18 What factors contribute to the need for physical restraint in institutionalized residents in Taiwan? Chien, Ching-Fang Huang, Ling-Chun Chang, Yang-Pei Lin, Chung-Fen Hsu, Chih-Cheng Yang, Yuan-Han PLoS One Research Article BACKGROUND: In Taiwan, physical restraint is commonly used in institutions to protect residents from falling or injury. However, physical restraint should be used cautiously to avoid side effects, such as worse cognition, mobility, depression, and even death. OBJECTIVES: To identify the rate of physical restraint and the associated risk factors in institutionalized residents in Taiwan. METHODS: A community-based epidemiological survey was conducted from July 2019 to February 2020 across 266 residential institutions. Among the estimated 6,549 residents being surveyed, a total of 5,752 finished the study. The questionnaires were completed by residents, his/her family or social workers. The cognition tests were conducted by specialists and a multilevel analysis approach was used to identify cognition/disability/medical history/special nursing care/BPSD risk factors for physical restraints. RESULTS: Of the 5,752 included institutionalized residents, 30.2% (1,737) had been previously restrained. Older age, lower education level, lower cognitive function, higher dependence, residents with cerebrovascular disease, pulmonary disease, dementia, and intractable epilepsy, all contributed to a higher physical restraint rate, while orthopedic disease and spinal cord injury were associated with a lower physical restraint rate. Furthermore, residents with special nursing care had a higher restraint rate. Residents with most of the behavior and psychological symptoms were also associated with an increased restraint rate. CONCLUSIONS: We studied the rate of physical restraint and associated risk factors in institutionalized residents in Taiwan. The benefits and risks of physical restraint should be evaluated before application, and adjusted according to different clinical situations. Public Library of Science 2022-11-17 /pmc/articles/PMC9671315/ /pubmed/36395117 http://dx.doi.org/10.1371/journal.pone.0276058 Text en © 2022 Chien et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Chien, Ching-Fang Huang, Ling-Chun Chang, Yang-Pei Lin, Chung-Fen Hsu, Chih-Cheng Yang, Yuan-Han What factors contribute to the need for physical restraint in institutionalized residents in Taiwan? |
title | What factors contribute to the need for physical restraint in institutionalized residents in Taiwan? |
title_full | What factors contribute to the need for physical restraint in institutionalized residents in Taiwan? |
title_fullStr | What factors contribute to the need for physical restraint in institutionalized residents in Taiwan? |
title_full_unstemmed | What factors contribute to the need for physical restraint in institutionalized residents in Taiwan? |
title_short | What factors contribute to the need for physical restraint in institutionalized residents in Taiwan? |
title_sort | what factors contribute to the need for physical restraint in institutionalized residents in taiwan? |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671315/ https://www.ncbi.nlm.nih.gov/pubmed/36395117 http://dx.doi.org/10.1371/journal.pone.0276058 |
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