장기요양시설 및 요양병원 입소 치매대상자의 억제대 적용 관련 요인

• 영문명: Factors related to Use of Physical Restraints for Older Adults with Dementia in Long-term Care Settings
• 발행기관: 한국노인간호학회
• 저자명: 이해정(Lee Haejung) 박명화(Park Myonghwa) 이성화(Lee Sung-Hwa) 이미현(Lee Mihyun) 고영혜(Go Younghye) 김춘길(Kim Chun-
• 간행물 정보: 『노인간호학회지』제21권 제2호, 125~134쪽, 전체 10쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2019.08.31

영문 초록

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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키워드

신체 억제대 치매 노인 장기요양 Physical restraint Dementia Aged Long-term care