Does access to bed-chair pressure sensors reduce physical restraint use in the rehabilitative care setting?

Journal of Clinical Nursing
Timothy KwokEric Tam

Abstract

The common use of physical restraints in older people in hospitals and nursing homes has been associated with injurious falls, decreased mobility and disorientation. By offering access to bed-chair pressure sensors in hospitalized patients with perceived fall risk, nurses may be less inclined to resort to physical restraints, thereby improving clinical outcomes. To investigate whether the access of bed-chair pressure sensors reduces physical restraint use in geriatric rehabilitation wards. Randomized controlled trial. Consecutively, patients admitted to two geriatric wards specialized in stroke rehabilitation in a convalescent hospital in Hong Kong, and who were perceived by nurses to be at risk of falls were randomly assigned to intervention and control groups. For the intervention group subjects, nurses were given access to bed-chair pressure sensors. These sensors were not available to control group subjects, as in usual practice. The trial continued until discharge. The primary outcomes were the proportion of subjects restrained by trunk restraint, bedrails or chair-board and the proportion of trial days in which each type of physical restraint was applied. The secondary outcomes were the proportions of those who improved i...Continue Reading

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Citations

Mar 20, 2009·Age and Ageing·Opinder Sahota
Jul 10, 2014·Journal of Nursing Care Quality·Pam CosperBecky Provine
Jul 6, 2012·Journal of the American Medical Directors Association·Timothy KwokJean Woo
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