Educational intervention on physical restraint use in long-term care facilities – Systematic review and meta-analysis
“Physical restraint” formerly used as a measure of protection for psychiatric patients is now widely used. However, existing studies showed that physical restraint not only has inadequate effect of protection but also has negative effects on residents. To analyzes the impact of educational program o...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-08-01
|
| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X16304545 |
| _version_ | 1818135489871347712 |
|---|---|
| author | Shao-Huan Lan Li-Chin Lu Shou-Jen Lan Jong-Chen Chen Wen-Jun Wu Shen-Peng Chang Long-Yau Lin |
| author_facet | Shao-Huan Lan Li-Chin Lu Shou-Jen Lan Jong-Chen Chen Wen-Jun Wu Shen-Peng Chang Long-Yau Lin |
| author_sort | Shao-Huan Lan |
| collection | DOAJ |
| description | “Physical restraint” formerly used as a measure of protection for psychiatric patients is now widely used. However, existing studies showed that physical restraint not only has inadequate effect of protection but also has negative effects on residents. To analyzes the impact of educational program on the physical restraint use in long-term care facilities. Design: A systematic review with meta-analysis and meta-regression. Eight databases, including Cochrane Library, ProQuest, PubMed, EMBASE, EBSCO, Web of Science, Ovid Medline and Physiotherapy Evidence Database (PEDro), were searched up to January 2017. Eligible studies were classified by intervention and accessed for quality using the Quality Assessment Tool for quantitative studies. Sixteen research articles were eligible in the final review; 10 randomize control trail studies were included in the analysis. The meta-analysis revealed that the use of physical restraint was significantly less often in the experimental (education) group (OR = 0.55, 95% CI: 0.39 to 0.78, p < 0.001) compared to the control group. Meta-regression revealed the period of post education would have decreased the effect of the restraint educational program (β: 0.08, p = 0.002); instead, the longer education period and more times of education would have a stronger effect of reducing the use of physical restraint (β: −0.07, p < 0.001; β: −0.04, p = 0.056). The educational program had an effect on the reduced use of physical restraint. The results of meta-regression suggest that long-term care facilities should provide a continuous education program of physical restraint for caregivers. |
| first_indexed | 2024-12-11T09:25:20Z |
| format | Article |
| id | doaj.art-958cb3b8937e491abc6f955a913b1abe |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-11T09:25:20Z |
| publishDate | 2017-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-958cb3b8937e491abc6f955a913b1abe2022-12-22T01:13:10ZengWileyKaohsiung Journal of Medical Sciences1607-551X2017-08-0133841142110.1016/j.kjms.2017.05.012Educational intervention on physical restraint use in long-term care facilities – Systematic review and meta-analysisShao-Huan Lan0Li-Chin Lu1Shou-Jen Lan2Jong-Chen Chen3Wen-Jun Wu4Shen-Peng Chang5Long-Yau Lin6Institute of Medicine, Chung Shan Medical University, TaiwanDepartment of Information Management, National Yunlin University of Science and Technology, TaiwanHealthcare Administration, Asia University Department, TaiwanDepartment of Information Management, National Yunlin University of Science and Technology, TaiwanInstitute of Medicine, Chung Shan Medical University, TaiwanDepartment of Pharmacy, Chi Mei Medical Center, Liouying, TaiwanCollege of Medicine, Chung Shan Medical University, Taichung, Taiwan“Physical restraint” formerly used as a measure of protection for psychiatric patients is now widely used. However, existing studies showed that physical restraint not only has inadequate effect of protection but also has negative effects on residents. To analyzes the impact of educational program on the physical restraint use in long-term care facilities. Design: A systematic review with meta-analysis and meta-regression. Eight databases, including Cochrane Library, ProQuest, PubMed, EMBASE, EBSCO, Web of Science, Ovid Medline and Physiotherapy Evidence Database (PEDro), were searched up to January 2017. Eligible studies were classified by intervention and accessed for quality using the Quality Assessment Tool for quantitative studies. Sixteen research articles were eligible in the final review; 10 randomize control trail studies were included in the analysis. The meta-analysis revealed that the use of physical restraint was significantly less often in the experimental (education) group (OR = 0.55, 95% CI: 0.39 to 0.78, p < 0.001) compared to the control group. Meta-regression revealed the period of post education would have decreased the effect of the restraint educational program (β: 0.08, p = 0.002); instead, the longer education period and more times of education would have a stronger effect of reducing the use of physical restraint (β: −0.07, p < 0.001; β: −0.04, p = 0.056). The educational program had an effect on the reduced use of physical restraint. The results of meta-regression suggest that long-term care facilities should provide a continuous education program of physical restraint for caregivers.http://www.sciencedirect.com/science/article/pii/S1607551X16304545ElderEducationLong term careMeta-analysisPhysical restraint |
| spellingShingle | Shao-Huan Lan Li-Chin Lu Shou-Jen Lan Jong-Chen Chen Wen-Jun Wu Shen-Peng Chang Long-Yau Lin Educational intervention on physical restraint use in long-term care facilities – Systematic review and meta-analysis Kaohsiung Journal of Medical Sciences Elder Education Long term care Meta-analysis Physical restraint |
| title | Educational intervention on physical restraint use in long-term care facilities – Systematic review and meta-analysis |
| title_full | Educational intervention on physical restraint use in long-term care facilities – Systematic review and meta-analysis |
| title_fullStr | Educational intervention on physical restraint use in long-term care facilities – Systematic review and meta-analysis |
| title_full_unstemmed | Educational intervention on physical restraint use in long-term care facilities – Systematic review and meta-analysis |
| title_short | Educational intervention on physical restraint use in long-term care facilities – Systematic review and meta-analysis |
| title_sort | educational intervention on physical restraint use in long term care facilities systematic review and meta analysis |
| topic | Elder Education Long term care Meta-analysis Physical restraint |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X16304545 |
| work_keys_str_mv | AT shaohuanlan educationalinterventiononphysicalrestraintuseinlongtermcarefacilitiessystematicreviewandmetaanalysis AT lichinlu educationalinterventiononphysicalrestraintuseinlongtermcarefacilitiessystematicreviewandmetaanalysis AT shoujenlan educationalinterventiononphysicalrestraintuseinlongtermcarefacilitiessystematicreviewandmetaanalysis AT jongchenchen educationalinterventiononphysicalrestraintuseinlongtermcarefacilitiessystematicreviewandmetaanalysis AT wenjunwu educationalinterventiononphysicalrestraintuseinlongtermcarefacilitiessystematicreviewandmetaanalysis AT shenpengchang educationalinterventiononphysicalrestraintuseinlongtermcarefacilitiessystematicreviewandmetaanalysis AT longyaulin educationalinterventiononphysicalrestraintuseinlongtermcarefacilitiessystematicreviewandmetaanalysis |