Conference Paper: Use of restraints on older patients with dementia: reports from nurses and nursing assistants in Hong Kong

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Title	Use of restraints on older patients with dementia: reports from nurses and nursing assistants in Hong Kong
Authors	Yan, E Kwok, T
Keywords	Gerontology and geriatrics
Issue Date	2009
Publisher	Oxford University Press. The Journal's web site is located at http://gerontologist.gerontologyjournals.org
Citation	The 62 Annual Scientific Meeting of the Gerontological Society of America, Atlanta, GA., 18-22 November 2009. In The Gerontologist: a journal of the Gerontological Society of America, 2009, v. 49, suppl. 2, p. 139 [How to Cite?] DOI: http://dx.doi.org/10.1093/geront/gnp147
Abstract	Physical restraint is a common method of behavior control in elder care. The most frequently cited reason for the use of restraint is to protect the safety of older persons. However, there is ample evidence that the use of restraint is not only ineffective in achieving this goal but also causes a great deal of physical and psychological suffering. This study examines the prevalence and correlates of the use of restraint on older patients with dementia in the hospital setting in Hong Kong. A total of 187 nursing staff was recruited through convenient sampling. Participants provided information on their demographic characteristics, co-worker emotional support, burnout symptoms, attitudes toward patients with dementia, and their experience of restraint use in dementia care. Results showed that restraint use is common among nurses in hospital medical wards in Hong Kong - more than two-thirds (69%) of the participants reported using physical restraint in the past 3 months. Pearson correlation analysis results show that use of physical restraint was negatively correlated with the age of participants (r = - .44, p < .01) and co-worker emotional support (r = - .20, p < .05), but positively correlated with emotional exhaustion (r = .21, p < .01). Attitudes towards patients with dementia, depersonalization and lack of personal achievement were not related to restraint use (p>.05). To reduce the use of restraint in dementia care, we should cultivate a supportive environment and reduce job stress among nursing staff.
Description	Session 595 (Poster)
ISSN	0016-9013 2011 Impact Factor: 2.481 2011 SCImago Journal Rankings: 0.128
DOI	http://dx.doi.org/10.1093/geront/gnp147

DC Field	Value
dc.contributor.author	Yan, E
dc.contributor.author	Kwok, T
dc.date.accessioned	2010-10-31T10:25:22Z
dc.date.available	2010-10-31T10:25:22Z
dc.date.issued	2009
dc.description.abstract	Physical restraint is a common method of behavior control in elder care. The most frequently cited reason for the use of restraint is to protect the safety of older persons. However, there is ample evidence that the use of restraint is not only ineffective in achieving this goal but also causes a great deal of physical and psychological suffering. This study examines the prevalence and correlates of the use of restraint on older patients with dementia in the hospital setting in Hong Kong. A total of 187 nursing staff was recruited through convenient sampling. Participants provided information on their demographic characteristics, co-worker emotional support, burnout symptoms, attitudes toward patients with dementia, and their experience of restraint use in dementia care. Results showed that restraint use is common among nurses in hospital medical wards in Hong Kong - more than two-thirds (69%) of the participants reported using physical restraint in the past 3 months. Pearson correlation analysis results show that use of physical restraint was negatively correlated with the age of participants (r = - .44, p < .01) and co-worker emotional support (r = - .20, p < .05), but positively correlated with emotional exhaustion (r = .21, p < .01). Attitudes towards patients with dementia, depersonalization and lack of personal achievement were not related to restraint use (p>.05). To reduce the use of restraint in dementia care, we should cultivate a supportive environment and reduce job stress among nursing staff.
dc.description	Session 595 (Poster)
dc.description.other	The 62 Annual Scientific Meeting of the Gerontological Society of America, Atlanta, GA., 18-22 November 2009. In The Gerontologist: a journal of the Gerontological Society of America, 2009, v. 49, suppl. 2, p. 139
dc.identifier.citation	The 62 Annual Scientific Meeting of the Gerontological Society of America, Atlanta, GA., 18-22 November 2009. In The Gerontologist: a journal of the Gerontological Society of America, 2009, v. 49, suppl. 2, p. 139 [How to Cite?] DOI: http://dx.doi.org/10.1093/geront/gnp147
dc.identifier.doi	http://dx.doi.org/10.1093/geront/gnp147
dc.identifier.epage	139
dc.identifier.hkuros	173448
dc.identifier.issn	0016-9013 2011 Impact Factor: 2.481 2011 SCImago Journal Rankings: 0.128
dc.identifier.issue	suppl. 2
dc.identifier.openurl
dc.identifier.spage	139
dc.identifier.uri	http://hdl.handle.net/10722/124277
dc.identifier.volume	49
dc.language	eng
dc.publisher	Oxford University Press. The Journal's web site is located at http://gerontologist.gerontologyjournals.org
dc.relation.ispartof	The Gerontologist: a journal of the Gerontological Society of America
dc.subject	Gerontology and geriatrics
dc.title	Use of restraints on older patients with dementia: reports from nurses and nursing assistants in Hong Kong
dc.type	Conference_Paper

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Conference Paper: Use of restraints on older patients with dementia: reports from nurses and nursing assistants in Hong Kong

The HKU Scholars Hub has contact details for these author(s).