O'Keeffe S, Jack C I, Lye M
Department of Geriatric Medicine, Royal Liverpool University Hospital, Lancashire, England.
J Am Geriatr Soc. 1996 Sep;44(9):1086-8. doi: 10.1111/j.1532-5415.1996.tb02944.x.
To determine the prevalence of restraint and bedrail use in a British hospital.
Cross-sectional observational study.
Six hundred sixty-eight patients in the acute medical, surgical, and geriatric beds of a large British teaching hospital on a single night.
Observed use of restraints and bedrails. Reasons for restraint use were determined by interviews with nursing staff and examination of the case notes.
Fifty-six (8.4%) patients had bedrails raised. No other restraints were in use. Reported indications for bedrail use were: prevention of falls (52 patients), prevention of wandering (1), and patient request (3). In stepwise logistic regression analysis, bedrail use was associated significantly with agitated confusion, age 70 years or more, and stroke, while patients on the acute geriatric wards were significantly less likely to have bedrails raised.
Restraint use is relatively uncommon in Britain. Nevertheless, inappropriate use of bedrails is a reason for concern.
确定英国一家医院使用约束措施和床栏的情况。
横断面观察性研究。
某大型英国教学医院某晚在急性内科、外科和老年病房的668名患者。
观察约束措施和床栏的使用情况。通过与护理人员访谈及查阅病历确定使用约束措施的原因。
56名（8.4%）患者的床栏被拉起。未使用其他约束措施。报告的使用床栏的指征为：预防跌倒（52例患者）、预防走失（1例）和患者要求（3例）。在逐步逻辑回归分析中，使用床栏与躁动性意识模糊、70岁及以上年龄和中风显著相关，而急性老年病房的患者使用床栏的可能性显著降低。
在英国，约束措施的使用相对不常见。然而，床栏的不当使用值得关注。
