Physical restraint use in institutional care of old people in Sweden between 2000 and 2007
(English)Manuscript (preprint) (Other academic)
Background Physical restraint use is common in institutional care for old people and mainly used to prevent falls, despite that the preventive effect has been questioned. The aim was to investigate the use of physical restraints in Sweden, between 2000 and 2007.
Method Data were collected from two comparable census surveys conducted in all institutional care units for old people in 2000 (n=3,804) and 2007 (n=2,970). Information on residents’ characteristics, physical restraint use and falls was collected by means of the Multi-Dimensional Dementia Assessment Scale (MDDAS).
Results In 2000 16.2% (95% confidence interval (CI) 15.2-17.4) of the residents were restrained compared to 18.4% (95% CI 17.0-19.8) in 2007 (P = 0.018). Adjusting for resident’s characteristics showed that residents in 2007 were 1.2 (95% CI 1.0-1.5) times more likely to be physically restrained, relative to the residents in 2000. In 2007 the residents had been restrained longer, and a higher proportion were restrained for an unknown reason.
Conclusion Physical restraint use increased between 2000 and 2007, residents were restrained for a longer time and a greater number were restrained for an unknown reason. It is possible that the changes in physical restraint use might be dependent on factors other than the residents’ characteristics.
Physical restraints, falls, geriatric care, cross-sectional, retrospective study, elderly
Research subject Geriatrics
IdentifiersURN: urn:nbn:se:umu:diva-31947OAI: oai:DiVA.org:umu-31947DiVA: diva2:300025