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The Effect of a Restraint Reduction Program on Physical Restraint Rates in Rehabilitation Settings in Hong Kong

机译:在香港康复中心实施减少约束计划对身体约束率的影响

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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 that in the control site, the RRP in the intervention site helped arrest any increase in the restraint rate although it had no effect on physical restraint reduction. The shift of restraint mode from continuous to intermittent in the intervention site was one of the positive outcomes of the RRP.
机译:背景。鉴于使用约束的不利影响,需要进行研究以研究减少约束的程序(RRP)的使用。研究RRP对降低康复医院的身体约束率的作用。进行了一项前瞻性的准实验临床试验。收集了两家康复医院招募患者的人口统计数据,医学和健康相关信息以及约束率的设施数据。对照部位的抑制率增加量比干预部位的抑制率增加了4.3倍。在控制部位和干预部位的干预前后,人们发现了约束方式的变化,从连续到间歇,以及所用约束的类型。与控制站点相比,干预站点的RRP有助于阻止约束率的任何增加,尽管它对减少物理约束没有影响。约束模式在干预部位从连续转变为间歇是RRP的积极成果之一。

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