Mechanical Restraint in Nursing Homes in Brazil: a cross-sectional study

• Autor(a) principal: Delvalle,Romulo
• Data de Publicação: 2020
• Outros Autores: Santana,Rosimere Ferreira, Menezes,Ariana Kassiadou, Cassiano,Keila Mara, Carvalho,Ana Carolina Siqueira de, Barros,Patrícia de Fátima Augusto
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Enfermagem (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020001500163
• topic: Homes for the Aged; Restraint, Physical; Aged; Geriatric Nursing; Health of the Elderly

ABSTRACT Objective: to estimate the mechanical restraint prevalence in Nursing Homes in Brazil and the factors associated with its performance. Methods: this cross-sectional study was carried out in 14 institutions, with a final sample of 443 elderly people. Mechanical restraint was considered as a dependent variable. Results: there was a 7.45% prevalence of mechanical restraint considering bed rails and 3.84% without considering bed rails. Main justification for restraint use was risk of falls (66.7%), and restraint duration was 24 hours (84.8%). The factors associated with the dependent variable were: wandering (p=0.000); MMSE, with cognitive loss (p=0.000); Katz Index, with dependence for Activities of Daily Living (p=0.000); and Alzheimer’s comorbidity (p=0.001) Conclusion: prevalence was lower than international studies, but there was an association with worsening of wandering, dependence, cognitive worsening, and Alzheimer’s Disease, showing the need for alternative interventions to mechanical restraint.