[Effects of a physical restraint removal program on older people with dementia in residential care]. / Efectos de un programa de eliminación de sujeciones físicas sobre personas mayores con demencia en residencias.
Rev Esp Geriatr Gerontol
; 51(1): 5-10, 2016.
Article
en Es
| MEDLINE
| ID: mdl-26422595
OBJECTIVE: To analyse the results of removing physical restraints from elderly patients with dementia living in nursing homes. This objective is part of a wider process of change in residential care. METHODS: Quasi-experimental study conducted in two residences from May 2010 to May 2012. Information was collected at 7 time points and longitudinal analyses were performed. After training staff, the physical restraints in El Puig centre were phased out, while in the Conarda centre, restraints were still applied to elderly people. The main variables studied were: falls, psychotropic medication prescriptions, different indicators of mental impairment, and degree of dependence (Norton, NPI, Mini-mental, Tinetti, Barthel). RESULTS: In the El Puig centre all the physical restraints were removed. A slight improvement was seen in the number of falls, and their consequences. The ANOVA showed significant improvements in the centre that removed restraints in prescribing psychotropic medications, cognitive impairment, and behavioural changes. DISCUSSION: It is shown that removing physical restraints do not cause negative effects as regards the number of falls, and also positively affects the welfare and independence of elderly people (through changes in behaviour and mental impairment). Furthermore, it is demonstrated that this program must be accompanied by the reduction and control of medicines (withdrawal of the number of psychotropic prescriptions).
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Restricción Física
/
Demencia
/
Casas de Salud
Límite:
Aged
/
Humans
Idioma:
Es
Revista:
Rev Esp Geriatr Gerontol
Año:
2016
Tipo del documento:
Article
Pais de publicación:
España