Restraint use among selected hospitalized elderly patients in Cairo, Egypt

Abstract

ObjectiveThis study’s primary objective was to investigate the prevalence of physical and chemical restraint use in selected elderly hospitalized patients.ResultsThis study was conducted in April 2014 in four major acute care hospitals. Trained data collectors assessed the use of physical and chemical restraint among all admitted elderly patients. There were 287 elderly patients (median age 64 years, 46% women). 32 patients were restrained. The overall prevalence of restraints was 11.1%, with physical restraint use alone at 3.2% and chemical restraints use alone at 7.3%. Restraint use varied by hospital type, with the highest at the private hospital (22.9%) and the lowest at the two university hospitals (< 6%). In conclusion the prevalence of physical and chemical restraint use among admitted elderly patients in Egypt is comparable to that seen in developed countries. However, the use appears to vary widely by hospital type. The use of restraints in the elderly remains an important question considering the increasing number of elderly.Electronic supplementary materialThe online version of this article (10.1186/s13104-017-2978-x) contains supplementary material, which is available to authorized users.

Does missed nursing care influence the use of physical restraint and its duration in acute medical patients? Secondary analysis of a longitudinal study

“…A 12.6% prevalence of PR was found, which was slightly higher than that reported recently in acute hospitals (11.1%: Eltaliawi, El‐Shinawi, Comer, Hamazah, & Hirshon, 2017), and less than that reported in the reviews available (from 33–68%: Hamers & Huizing, 2005), which may be attributable to the different conceptual and operational definitions of PR and measurement methods used across studies (Palese, Cargnelli, et al, 2018). Moreover, when PR is used, patients were restrained for approximately 20% of their LOS (e.g., 2 days during an LOS of 10 days), thus suggesting that the decision to apply PR is not episodic (e.g., specific to one nurse's shift), but other nurses on the team use it in the following shifts.…”

La restricción y el aislamiento mostrados a través de imágenes publicadas en Twitter: ¿Cuáles son las implicaciones para los profesionales de la salud?

“…For some time, physical restraints have been used in care settings for the elderly (Eltaliawi, El-Shinawi, Comer, Hamazah, & Hirshon, 2017;Krüger, Mayer, Haastert, & Meyer, 2013;Möhler & Meyer, 2014;Scheepmans, Dierckx de Casterlé, Paquay, & Milisen, 2018), in psychiatric care (Mahmoud, 2017;McKenna, McEvedy, Maguire, Ryan, & Furness, 2017;Stewart, Bowers, Simpson, Ryan, & Tziggili, 2009); and in intensive, acute and emergency care settings (Chapman et al, 2016;Stinson, 2016;van der Kooi et al, 2015 (Dyson et al, 2017;Hawkins et al, 2016;Hswen et al, 2017). inflections.…”

The principles of physical restraint use for hospitalized elderly people: an integrated literature review

“…These methods include belts (at the wrist, ankle, chest, waist), bedrails, and chairs [ 16 , 17 ]. Evidence shows that PR is routinely used in hospitals [ 17 – 19 ] and elderly people receive PR during their hospital stay three times more than other hospitalized patients [ 9 ]. The prevalence of PR use for hospitalized elderly people is as high as 33–68% [ 7 ].…”