Vivium Zorggroep, Bussum, The Netherlands.
Int J Geriatr Psychiatry. 2013 Apr;28(4):356-63. doi: 10.1002/gps.3831. Epub 2012 May 30.
As physical restraints should only be used in exceptional cases, there is an urgent need for alternatives to restraint use. Surveillance technology could be such an alternative. This study explored whether nursing-home residents with dementia subjected to surveillance technology had better quality of life scores for mood, behavioral and societal dimensions than residents with physical restraints.
Quality of life was assessed longitudinally, with three measurements in six psychogeriatric nursing homes of residents with surveillance technology (n = 170) and residents with physical restraints (n = 22). QUALIDEM subscales were used to measure five dimensions of quality of life. Multilevel longitudinal univariate and multivariate regression techniques were used to analyze the data.
Because physical restraints were almost exclusively used in residents with low activities of daily living (ADL) independency (18 of the 22), we restricted the regression analyses to residents with a Barthel Index score ≤ 5 (overall n = 53). Univariate results showed that highly ADL-dependent residents with surveillance technology had significantly more positive affect than highly ADL-dependent residents with physical restraints. However, this difference proved to be no longer significant after adjustment for the confounders: age, sex and stage of dementia.
Quality of life of highly ADL-dependent nursing-home residents with dementia seems to be unrelated to the use of surveillance technology as opposed to physical restraints.
由于身体约束应仅在特殊情况下使用，因此迫切需要替代约束的方法。监控技术可能是一种替代方法。本研究探讨了使用监控技术的痴呆症养老院居民在情绪、行为和社会维度的生活质量评分是否优于使用身体约束的居民。
使用 QUALIDEM 子量表对生活质量进行了纵向评估，在六家心理老年护理院对使用监控技术的居民（n=170）和使用身体约束的居民（n=22）进行了三次测量。采用单变量和多变量多层次纵向回归技术分析数据。
由于身体约束几乎完全用于日常生活活动（ADL）独立性较低的居民（22 名居民中有 18 名），我们将回归分析限制在 Barthel 指数评分≤5 的居民中（总体 n=53）。单变量结果表明，ADL 高度依赖且使用监控技术的居民的积极影响明显大于 ADL 高度依赖且使用身体约束的居民。然而，在调整混杂因素（年龄、性别和痴呆症阶段）后，这种差异不再显著。
ADL 高度依赖的痴呆症养老院居民的生活质量似乎与使用监控技术而非身体约束无关。
