Belt Restraint Reduction in Nursing Homes: Effects of a Multicomponent Intervention Program

Abstract

A multicomponent intervention program led to a substantial reduction in use of belts, full-enclosure bedrails, and sleep suits without increasing the use of other physical restraints, psychoactive drugs, or falls and fall-related injuries.

Preventing belt restraint use in newly admitted residents in nursing homes: A quasi-experimental study

“…Not using belt restraints did not lead to any adverse effects such as an increase in psychoactive drug use, falls or fall-related injuries. These results are in line with the effects of the EXBELT intervention in the larger study among already admitted residents (Gulpers et al, 2011). That study also showed that a statistically significant decrease in the use of belts and other physical restraints in nursing homes is attainable without causing an increase in psychoactive drug use, falls or fall-related injuries (Gulpers et al, 2011).…”

“…The strategy includes a policy change, education, consultation and the availability of alternative interventions. The implementation of the EXBELT intervention resulted in a 50% reduction in belt use (odds ratio = 0.48, 95% confidence interval = 0.28-0.81; p = .005) (Gulpers et al, 2011). The aim of the present study was to examine the effect of EXBELT intervention on the prevention of belt restraint use in newly admitted residents of psychogeriatric nursing home wards.…”

“…The present study is part of the quasi-experimental study which focused on the reduction of belt restraint usage in residents with dementia who reside in psychogeriatric nursing homes (Gulpers et al, 2010(Gulpers et al, , 2011. In this study we employed a quasi-experimental longitudinal study with 8 month follow-up to examine the effect of a multi-component intervention programme on reduction and prevention of belt restraints in two different samples:…”

The use of physical restraints in long-term care in Spain: a multi-center cross-sectional study

“…Previous studies also detected a lack of awareness of the potential complications [34, 36, 40], so that staff may erroneously overestimate the benefits of these devices. Teaching programs addressing these issues, supported by other measures, such as the implementation of technical assistance, changes in institutional culture, or support from a specialist consultant, have been found effective in reducing their usage [16, 41, 42]. …”

Efectos de un programa de eliminación de sujeciones físicas sobre personas mayores con demencia en residencias

“…En total en El Puig se pierde un 40% de la población y en Conarda un 37%. Estos porcentajes son similares a las pérdidas por exitus en estudios de similar naturaleza en otros países [17][18] .…”