Fariña-López Emilio
Departamento de Enfermería, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España.
Rev Esp Geriatr Gerontol. 2011 Jan-Feb;46(1):36-42. doi: 10.1016/j.regg.2010.09.005. Epub 2011 Feb 1.
The use of physical restraint devices on frail elderly could have significant negative consequences on their health. Apart from complications due to prolonged immobility, the use of this procedure is associated with other serious adverse effects which occur when a person is restricted in a position which carries a risk of asphyxiation. The devices most implicated in these incidents are bedrails, vests and restraining belts. Physical restraint could also be associated as much with the sudden death of patients, due to the stress that it causes, as with injuries from falling. This article presents the recommendations which experts, manufacturers and institutions dealing with the quality of health care have issued for the safest use of this procedure. It stresses the need for better training of professionals, as well as the importance of investigating the factors which can lead to accidents with the aim of preventing them.
对体弱老年人使用身体约束装置可能会对他们的健康产生重大负面影响。除了因长期不动而引发的并发症外，使用该程序还会带来其他严重不良反应，这些反应会在人处于有窒息风险的体位时发生。在这些事件中涉及最多的装置是床栏、背心和约束带。身体约束还可能与患者的猝死有关，这是由其所造成的压力导致的，同时也与跌倒受伤有关。本文介绍了专家、制造商以及关注医疗保健质量的机构针对安全使用该程序所发布的建议。它强调了对专业人员进行更好培训的必要性，以及调查可能导致事故的因素以预防事故的重要性。
