IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v15y2006i5p581-587.html
   My bibliography  Save this article

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

Author

Listed:
  • Timothy Kwok
  • Francis Mok
  • Wai Tong Chien
  • Eric Tam

Abstract

Background. 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. Aims and objectives. To investigate whether the access of bed‐chair pressure sensors reduces physical restraint use in geriatric rehabilitation wards. Design. Randomized controlled trial. Methods. 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 in the mobility and transfer domains of modified Barthel index on discharge and of those who fell. Results. One hundred and eighty subjects were randomized. Fifty (55·6%) out of the 90 intervention group subjects received the intervention. There was no significant difference between the intervention and control groups in the proportions and duration of having the three types of physical restraints. There was also no group difference in the chance of improving in mobility and transfer ability, and of having a fall. Conclusion. Access to bed‐chair pressure sensor device neither reduced the use of physical restraints nor improved the clinical outcomes of older patients with perceived fall risk. Relevance to clinical practice. The provision of bed‐chair pressure sensors may only be effective in reducing physical restraints when it is combined with an organized physical restraint reduction programme.

Suggested Citation

  • Timothy Kwok & Francis Mok & Wai Tong Chien & Eric Tam, 2006. "Does access to bed‐chair pressure sensors reduce physical restraint use in the rehabilitative care setting?," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(5), pages 581-587, May.
  • Handle: RePEc:wly:jocnur:v:15:y:2006:i:5:p:581-587
    DOI: 10.1111/j.1365-2702.2006.01354.x
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/j.1365-2702.2006.01354.x
    Download Restriction: no

    File URL: https://libkey.io/10.1111/j.1365-2702.2006.01354.x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Jens Abraham & Julian Hirt & Friederike Kamm & Ralph Möhler, 2020. "Interventions to reduce physical restraints in general hospital settings: A scoping review of components and characteristics," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(17-18), pages 3183-3200, September.
    2. James Chung-Wai Cheung & Eric Wing-Cheung Tam & Alex Hing-Yin Mak & Tim Tin-Chun Chan & Yong-Ping Zheng, 2022. "A Night-Time Monitoring System (eNightLog) to Prevent Elderly Wandering in Hostels: A Three-Month Field Study," IJERPH, MDPI, vol. 19(4), pages 1-16, February.
    3. Huei Kai Huang & Shu Man Lin & Clement Shih Hsien Yang & Chung Chao Liang & Hung Yu Cheng, 2017. "Post-ischemic stroke rehabilitation is associated with a higher risk of fractures in older women: A population-based cohort study," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-15, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:15:y:2006:i:5:p:581-587. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.