the effect of a restraint reduction program on physical restraint rates in rehabilitation settings in hong kong约束的影响减少物理限制利率康复项目设置在香港.pdfVIP

Hindawi Publishing Corporation Rehabilitation Research and Practice Volume 2011, Article ID 284604, 9 pages doi:10.1155/2011/284604 Research Article The Effect of a Restraint Reduction Program on Physical Restraint Rates in Rehabilitation Settings in Hong Kong Claudia K. Y. Lai,1 Susan K. Y. Chow,1 Lorna K. P. Suen,2 and Ivan Y. C. Wong1 1 School of Nursing, The Hong Kong Polytechnic University, Hong Kong 2 The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong Correspondence should be addressed to Claudia K. Y. Lai, hsclai@.hk Received 8 May 2011; Revised 4 July 2011; Accepted 5 July 2011 Academic Editor: Jeffrey Jutai Copyright © 2011 Claudia K. Y. Lai et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. In view of the adverse effects of using restraints, studies examining the use of restraint reduction programs (RRPs) are needed. Objectives. To investigate the effect of an RRP on the reduction of physical restraint rates in rehabilitation hospitals. Methods. A prospective quasi-experimental clinical trial was conducted. Demographic data, medical and health-related information on recruited patients from two rehabilitation hospitals, as well as facility data on restraint rates were collected. Results. The increase in the restraint rate in the control site was 4.3 times greater than that in the intervention site. Changes in the restraint mode, from continuous to intermittent, and the type of restraint used were found between the pre- and postintervention periods in both the control site and the intervention site. Discussion. Compared with th