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Factors related to Use of Physical Restraints for Older Adults with Dementia in Long-term Care Settings

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KMID : 0895920190210020125
ÀÌÇØÁ¤ ( Lee Hae-Jung ) - ºÎ»ê´ëÇб³ °£È£´ëÇÐ

¹Ú¸íÈ­ ( Park Myoung-Hwa ) - Ãæ³²´ëÇб³ °£È£´ëÇÐ
À̼ºÈ­ ( Lee Sung-Hwa ) - ±èÇØ´ëÇб³ °£È£´ëÇÐ
À̹ÌÇö ( Lee Mi-Hyun ) - ´ëÀüº¸°Ç´ëÇб³ °£È£Çаú
°í¿µÇý ( Go Young-Hye ) - Ãæ³²´ëÇб³ °£È£´ëÇÐ
±èÃá±æ ( Kim Chun-Gill ) - ÇѸ²´ëÇб³ °£È£´ëÇÐ
±èÁ¤¼± ( Kim Jeong-Sun ) - Àü³²´ëÇб³ °£È£´ëÇÐ
±è°æ¼÷ ( Kim Kyung-Sook ) - ³²¼­¿ï´ëÇб³ °£È£Çаú
ÀÌ¿µÈÖ ( Lee Young-Whee ) - ÀÎÇÏ´ëÇб³ °£È£Çаú
ÀÓ¿µ¹Ì ( Lim Young-Mi ) - ¿¬¼¼´ëÇб³ ¿øÁÖÀÇ°ú´ëÇÐ °£È£Çаú
¼ÛÁؾƠ( Song Jun-Ah ) - °í·Á´ëÇб³ °£È£´ëÇÐ
¹Ú¿µ¼± ( Park Young-Sun ) - °æº¹´ëÇб³ °£È£Çаú
À±Á¾Ã¶ ( Youn Jong-Chul ) - °æ±âµµ ³ëÀÎÀü¹® ¿ëÀκ´¿ø Á¤½Å°Ç°­ÀÇÇаú
±è±â¿õ ( Kim Ki-Woong ) - ¼­¿ï´ëÇб³ ÀÇ°ú´ëÇÐ Á¤½Å°ú
È«(¼Õ)±Í·É ( Hong Gwi-Ryung Son ) - ÇѾç´ëÇб³ °£È£ÇкÎ

Abstract

Purpose: The purpose of this study was to investigate factors related to use of restraints for older adults with dementia in long-term care settings.

Methods: This study analyzed secondary data from the Nationwide Survey on Dementia Care in Korea (NaSDeCK). Demographic characteristics, disease characteristics, and functional characteristics were analyzed. Data were analyzed with x2 test, t-test, ANOVA, and logistic regression analysis.

Results: Among participants, 8.2% experienced use of restraints. ¡®Strap¡¯ (78.3%) was the most commonly used restraint and ¡®Behavioral problem¡¯ (51.3%) was a major reason for the restraint. Persons who have low levels of daily activity and cognition deficits, higher levels of dependence, histories of falls within the past 3 months, and living in long-term hospitals have greater probability of restraint experience.

Conclusion: Developing interventions for older adults who have a high risk of being restrained is essential to minimize unnecessary restraint use among older adults with dementia in long-term care settings. Further study exploring the interacting roles of organizational and staff factors related to use of physical restraints would provide more comprehensive perspectives in understanding this phenomenon.
KeyWords
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Physical restraint, Dementia, Aged, Long-term care
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ÇмúÁøÈïÀç´Ü(KCI)