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장기요양시설 및 요양병원 입소 치매대상자의 억제대 적용 관련 요인Factors related to Use of Physical Restraints for Older Adults with Dementia in Long-term Care Settings

Other Titles
Factors related to Use of Physical Restraints for Older Adults with Dementia in Long-term Care Settings
Authors
이해정박명화이성화이미현고영혜김춘길김정선김경숙이영휘임영미송준아박영선윤종철김기웅홍귀령
Issue Date
2019
Publisher
한국노인간호학회
Keywords
신체 억제대; 치매; 노인; 장기요양; Physical restraint; Dementia; Aged; Long-term care
Citation
노인간호학회지, v.21, no.2, pp.125 - 134
Indexed
KCI
Journal Title
노인간호학회지
Volume
21
Number
2
Start Page
125
End Page
134
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/70147
ISSN
2384-1877
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.
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