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Geropsychiatric restraint use

J DeSantis1, S Engberg, J Rogers

  • 1Benedum Geriatric Center, University of Pittsburgh Medical Center, PA 15213, USA.

Journal of the American Geriatrics Society
|December 24, 1997
PubMed
Summary
This summary is machine-generated.

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Restraint use in geropsychiatric patients is linked to dementia, mobility issues, and behavioral problems. Common reasons include fall risk and unsteady gait, indicating a need for further study.

Area of Science:

  • Geriatric Psychiatry
  • Nursing Research
  • Patient Safety

Background:

  • Physical restraints are sometimes used in geropsychiatric care.
  • Understanding the factors influencing restraint use is crucial for improving patient care and safety.

Purpose of the Study:

  • To identify predictors of restraint use in geropsychiatric patients.
  • To determine the primary reasons cited by nursing staff for applying restraints.

Main Methods:

  • A prospective, correlational study was conducted in a geriatric psychiatric unit.
  • Data were collected from 131 patients and 21 nurses over six months.
  • Measures included the Nursing Home Behavior Problem Scale (NHBPS), Mini-Mental State Examination (MMSE), and Functional Mobility Screen (FMS).
Keywords:
Empirical ApproachMental Health TherapiesProfessional Patient Relationship

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Main Results:

  • Restraint use was 27.1% among the study population.
  • Patients diagnosed with dementia, exhibiting mobility impairments, or displaying behavioral problems were more likely to be restrained.
  • Staff most frequently cited unsteady gait and fall risk as reasons for restraint.

Conclusions:

  • Restraint use in geropsychiatric settings may be more prevalent than previously understood.
  • Further research is warranted to explore the implications and alternatives to restraint use in this population.