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Activity Aprons for Inpatients Requiring Individual Nursing Assignment Care: A Prospective Randomized Controlled
Michael W Ruff1, Anthony Fine2, Jay Mandrekar1,3
1Department of Neurology, Mayo Clinic, Rochester, MN, USA.
Activity aprons are safe for hospitalized patients with encephalopathy. While not reducing hospital stay or nursing assignments, they offer a safe intervention for managing delirium and encephalopathy.
Area of Science:
- Gerontology
- Geriatric Medicine
- Neuroscience
Background:
- Activity aprons are used for patients with dementia in home and long-term care settings.
- Inpatient use of activity aprons was hypothesized to reduce self-harm, nursing supervision, and restraint use.
Purpose of the Study:
- To evaluate the safety and feasibility of activity aprons for inpatients.
- To assess the impact of activity aprons on hospitalization duration, nursing assignments, and restraint use.
Main Methods:
- A single-center prospective randomized controlled pilot study.
- 30 patients were randomized to either activity apron plus standard care or standard care alone.
- Stratified randomization was based on age and cognitive impairment diagnosis.
Main Results:
- No statistically significant reduction in mean hospital stay or duration of individual nursing assignment was observed.
- Antipsychotic medication use was not significantly different between groups.
- No complications related to activity apron use were reported, indicating safety.
Conclusions:
- Activity aprons are a safe addition to standard care for hospitalized encephalopathic patients.
- These aprons may be a valuable component of interventions for delirium and encephalopathy.
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