Yeh S H, Lin L W, Wang S Y, Wu S Z, Lin J H, Tsai F M
Chang Gung Institute of Nursing, Taiwan, ROC.
Hu Li Yan Jiu. 2001 Apr;9(2):183-93.
One of the problems in nursing home care in Taiwan is resident restraint, including physical and chemical restraints. This pre-experimental study was conducted to investigate whether a restraint reduction program could reduce the prevalence of restraint in nursing homes. Three registered nursing homes were randomly selected from nursing homes in the Kaohsiung area. Staff and residents of these nursing homes were educated in restraint alternatives, balance training and managing behavior problems in one month of interventions. Three days before and after interventions, prevalence of restraints, falls, and of pressure sores, balance reaction, frequency of agitation, use of psychotic drugs, as well as the restraint knowledge of the nursing staff, was measured. After the restraint reduction program, the prevalence of restraint and frequency of resident agitation decreased significantly. The prevalence of falls and pressure sores of residents was not changed significantly. The restraint knowledge of the nursing staff significantly increased after the restraint reduction program. The information from this study led to a better strategy to reduce restraint for the elderly in nursing homes. The results could also provide a model to improve the quality of care in nursing homes in Taiwan.
台湾养老院护理中的问题之一是对住民的约束，包括身体约束和药物约束。这项实验前研究旨在调查一项减少约束的计划是否能降低养老院中约束的发生率。从高雄地区的养老院中随机选取了三家注册养老院。在为期一个月的干预中，对这些养老院的工作人员和住民进行了关于替代约束措施、平衡训练以及行为问题管理方面的培训。在干预前后三天，分别测量了约束的发生率、跌倒率、压疮发生率、平衡反应、躁动频率、精神药物的使用情况以及护理人员的约束知识。实施减少约束计划后，约束的发生率和住民的躁动频率显著下降。住民的跌倒率和压疮发生率没有显著变化。减少约束计划实施后，护理人员的约束知识显著增加。本研究所得信息促成了一项更好的减少养老院中老年人约束的策略。研究结果还可为提高台湾养老院的护理质量提供一个范例。
