dilemmas faced by nurses regarding the physical restraint of elderly patients with dementia in japan护士所面临的困境的物理限制日本的老年痴呆症患者.pdfVIP

International Journal of Clinical Medicine, 2011, 2, 599-603 1 doi:10.4236/ijcm.2011.25099 Published Online November 2011 (http://www.SciRP.org/journal/ijcm) Dilemmas Faced by Nurses Regarding the Physical Restraint of Elderly Patients with Dementia in Japan Miwa Yamamoto Department of Nursing, Faculty of Nursing and Rehabilitation, Aino University, Osaka, Japan. Email: tokiwa27@ Received August 8th, 2011; revised September 28th, 2011; accepted October 14th, 2011. ABSTRACT This study aimed to clarify the dilemma of nurses working in general wards who face the ethical dilemma of restraining older people with dementia in Midwestern Japan. The study used the questionnaire method with an independently pre- pared questionnaire. The questionnaire was designed to ensure privacy and anonymity. The privacy and anonymity of study participants was assured . Of the 340 survey questionnaires distributed, 291 (85.6%) completed surveys were eli- gible number (12 additional surveys were returned without answers). An explanatory factor analysis revealed four di- lemma factors among 15 items investigated (KMO value 0.84). These were : factor 1: “Execution of treatment and secu- rity,” α = 0.91; factor 2: “approach in the nursing of older people with dementia,” α = 0.93; factor 3: “A cooperative relationship in nursing of older people with dementia,” α = 0.87; and factor 4: “Priorities in nursing,” α = 0.81. The cumu- lative contribution ratio was 79.1%. We suggest that the program would enable nurses to cope with these dilemmas. Keywords : Dilemma, Physical Restraint, Elderly Patients, Dementia, Nurse 1. Introduction use of restraints has been necessitated by the absence of alternative nursing care techniques to ensure the safety of In 2000, Japan establi