Physical restraint in elderly in home care: a cross-sectional study

ABSTRACT Objective To estimate the prevalence of mechanical restraint and factors associated with its practice in elderly in Home Care. Methods This was a cross-sectional study with 162 elderly randomly assigned to a home care program in Rio de Janeiro, from March 2018 to July 2018. Used as a te...

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Main Authors: Cristiane da Silva Gabriel Capeletto, Rosimere Ferreira Santana, Lívia Maria da Silva Souza, Keila Mara Cassiano, Ana Carolina Siqueira de Carvalho, Patrícia de Fátima Augusto Barros
Format: Article
Language:English
Published: Universidade Federal do Rio Grande do Sul 2021-04-01
Series:Revista Gaúcha de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472021000100415&tlng=en
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author Cristiane da Silva Gabriel Capeletto
Rosimere Ferreira Santana
Lívia Maria da Silva Souza
Keila Mara Cassiano
Ana Carolina Siqueira de Carvalho
Patrícia de Fátima Augusto Barros
author_facet Cristiane da Silva Gabriel Capeletto
Rosimere Ferreira Santana
Lívia Maria da Silva Souza
Keila Mara Cassiano
Ana Carolina Siqueira de Carvalho
Patrícia de Fátima Augusto Barros
author_sort Cristiane da Silva Gabriel Capeletto
collection DOAJ
description ABSTRACT Objective To estimate the prevalence of mechanical restraint and factors associated with its practice in elderly in Home Care. Methods This was a cross-sectional study with 162 elderly randomly assigned to a home care program in Rio de Janeiro, from March 2018 to July 2018. Used as a technique for data collection and direct observation and structured interview of elderly clinical data. Data were analyzed descriptively and inferentially. Results There was a 13% prevalence of mechanical restraint in elderly in home care. The most frequent restraints were the use of bandage, tissues and sheets in the arms/legs and chests of the elderly, and the justification for their use were control of aggressive behavior (28.6%), prevention of falls (19%) and protection (19%). Of the total elderly participants, 42.9% remained contained for more than 24 hours, and in 85.7% of the cases, the individuals were confined to a room. Conclusion It is necessary to expand the training of formal and informal caregivers, recommending the rehabilitation of care practices that preserve the elderly's autonomy, giving them dignity, respecting gerontological and home care principles.
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spelling doaj.art-145fdc4e33644f90930e030e84e0ed552022-12-21T19:46:50ZengUniversidade Federal do Rio Grande do SulRevista Gaúcha de Enfermagem1983-14472021-04-014210.1590/1983-1447.2021.20190410Physical restraint in elderly in home care: a cross-sectional studyCristiane da Silva Gabriel Capelettohttps://orcid.org/0000-0002-0122-890XRosimere Ferreira Santanahttps://orcid.org/0000-0002-4593-3715Lívia Maria da Silva Souzahttps://orcid.org/0000-0002-5225-2045Keila Mara Cassianohttps://orcid.org/0000-0002-5675-6953Ana Carolina Siqueira de Carvalhohttps://orcid.org/0000-0002-4222-127XPatrícia de Fátima Augusto Barroshttps://orcid.org/0000-0003-4713-7576ABSTRACT Objective To estimate the prevalence of mechanical restraint and factors associated with its practice in elderly in Home Care. Methods This was a cross-sectional study with 162 elderly randomly assigned to a home care program in Rio de Janeiro, from March 2018 to July 2018. Used as a technique for data collection and direct observation and structured interview of elderly clinical data. Data were analyzed descriptively and inferentially. Results There was a 13% prevalence of mechanical restraint in elderly in home care. The most frequent restraints were the use of bandage, tissues and sheets in the arms/legs and chests of the elderly, and the justification for their use were control of aggressive behavior (28.6%), prevention of falls (19%) and protection (19%). Of the total elderly participants, 42.9% remained contained for more than 24 hours, and in 85.7% of the cases, the individuals were confined to a room. Conclusion It is necessary to expand the training of formal and informal caregivers, recommending the rehabilitation of care practices that preserve the elderly's autonomy, giving them dignity, respecting gerontological and home care principles.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472021000100415&tlng=enRestraintphysical. House calls. Home health nursing. Geriatric nursing. Health of the elderly
spellingShingle Cristiane da Silva Gabriel Capeletto
Rosimere Ferreira Santana
Lívia Maria da Silva Souza
Keila Mara Cassiano
Ana Carolina Siqueira de Carvalho
Patrícia de Fátima Augusto Barros
Physical restraint in elderly in home care: a cross-sectional study
Revista Gaúcha de Enfermagem
Restraint
physical. House calls. Home health nursing. Geriatric nursing. Health of the elderly
title Physical restraint in elderly in home care: a cross-sectional study
title_full Physical restraint in elderly in home care: a cross-sectional study
title_fullStr Physical restraint in elderly in home care: a cross-sectional study
title_full_unstemmed Physical restraint in elderly in home care: a cross-sectional study
title_short Physical restraint in elderly in home care: a cross-sectional study
title_sort physical restraint in elderly in home care a cross sectional study
topic Restraint
physical. House calls. Home health nursing. Geriatric nursing. Health of the elderly
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472021000100415&tlng=en
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