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2020 2
2022 1
2024 0

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Filters applied: Meta-Analysis, Systematic Review. Clear all
Page 1
Review
. 2022 Jul;31(13-14):2008-2023.
doi: 10.1111/jocn.15487. Epub 2020 Sep 17.

Restraint use in residents with dementia living in residential aged care facilities: A scoping review

Lihui Pu  1   2 , Wendy Moyle  1   2
Affiliations
Review

Restraint use in residents with dementia living in residential aged care facilities: A scoping review

Lihui Pu et al. J Clin Nurs. 2022 Jul.

Abstract

Aims and objectives: To provide an overview of restraint use in residents with dementia in the context of residential aged care facilities.

Background: Restraints are commonly used in people with dementia living in residential aged care facilities to manage behaviours and reduce injuries, but the concept of restraint use in people with dementia remains ambiguous, and current practices to reduce restraint use in long-term care residents with dementia remain unclear.

Design: A scoping review using the methodological frameworks of Arskey and O'Malley and colleagues.

Methods: Nine databases (CINAHL, MEDLINE, EMBASE, PubMed, Scopus, Web of Science, OVID, Cochrane Central Register of Controlled Trials and ProQuest) were searched from 2005 to 20 May 2019. Articles were included if they were written in English, peer-reviewed and used any research method that described restraint use in residents with dementia living in residential care settings. The PRISMA-ScR checklist was used.

Results: From 1,585 articles, 23 met the inclusion criteria. There is a lack of a clear definition of restraint use, and the prevalence of restraint use varied from 30.7% to 64.8% depending on the different operational concepts. People with dementia were at a higher risk for restraint use, and the decision-making process for restraint use was largely ignored in the literature. The effect of staff educational interventions to reduce restraint use was inconsistent due to varying delivery duration and content.

Conclusions: The prevalence of restraint use in people with dementia living in residential care settings remains high alongside the absence of a clear definition of restraint use. More research about the decision-making process involved in using restraint and development of effective interventions are needed.

Relevance to clinical practice: Better education about the decision-making regarding staff, conditions of residents and organisations for restraint use is needed to improve the care for people with dementia living in care settings.

Keywords: dementia; long-term care; restraint; scoping review.

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Meta-Analysis
. 2020 Sep 16;17(18):6738.
doi: 10.3390/ijerph17186738.

The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies

Anna Brugnolli  1 , Federica Canzan  2 , Luigina Mortari  3 , Luisa Saiani  2 , Elisa Ambrosi  2 , Martina Debiasi  1
Affiliations
Meta-Analysis

The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies

Anna Brugnolli et al. Int J Environ Res Public Health. .

Abstract

This review assesses the effectiveness of interventions to reduce physical restraint (PR) use in older people living in nursing homes or residential care facilities. A systematic search of studies published in four electronic databases (MEDLINE, CINHAL, PsycINFO, Cochrane Central Register of Controlled Trials). The review included individual and cluster randomized controlled trials that compared educational training and multicomponent programs to avoid PR use. Risk bias of randomized controlled trials (RCTs) was assessed according to the Cochrane Handbook for Systematic Reviews of Interventions. This review includes 16 studies in a qualitative synthesis that met the inclusion criteria, nine of them offered a multicomponent program and seven offered only educational training. The results of the 12 studies included in the meta-analysis showed a significant trend in favor of intervention over time and intensity of PR use tends to decrease. The review indicates that educational programs and other supplementary interventions should be effective, but the heterogeneous operative definition of physical restraints can make difficult data generalization.

Keywords: meta-analysis; nursing homes; older people; physical restraint; systematic review.

Conflict of interest statement

The authors declare no conflict of interest.

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