The use of physical restraints in Chinese long‐term care facilities and its risk factors: An observational and cross‐sectional study

作者：Jun Wang, Weichu Liu, Daomei Peng, Mingzhao Xiao, Qinghua Zhao · 发表于：Journal of Advanced Nursing · 年份：2020 · DOI：10.1111/jan.14486 · 被引用次数：17 · 研究领域：Healthcare Decision-Making and Restraints、Elder Abuse and Neglect、Workplace Violence and Bullying

AIM: To investigate the use of physical restraints among Chinese long-term care facilities older adults and to identify its risk factors. DESIGN: Observational and cross-sectional study. METHODS: A total of 1,026 older adults from six long-term care facilities in Chongqing were recruited by cluster sampling method from July - November 2019. Data on physical restraint use and older adults' characteristics were collected using physical restraints observation forms and older adults' records. Organizational data were collected by questionnaires asking nursing managers. The independent risk factors for physical restraints use were assessed using chi-square test and binary logistic regression. RESULTS: The study found that the prevalence of physical restraints in six long-term care facilities in China was 25.83%. Waist belt (55.47%) and wrist restraint (52.83%) were most frequently used. Only 61.51% of physical restraints were signed with informed consent. 71.70% of physical restraints were caused by the prevention of falls, 89.06% of physical restraints were without nursing documentation, and 13.58% restrained older adults were observed to have physical complications. According to the binary logistic regression analysis, facility type and ownership, older adults per nursing assistant, length of residence, cognitive impairment, care dependency, mobility restriction, fall risk, physical agitation, and indwelling tubes emerged as important risk factors for the use of physical restrai...