[Effects of a physical restraint removal program on older @entity1 with XXXX in residential care].

@entity1 @entity73 @entity303 @entity734
OBJECTIVE: To analyse the results of removing physical restraints from elderly @entity1 with @entity303 living in nursing homes. This objective is part of a wider process of change in residential care. METHODS: Quasi-experimental study conducted in two residences from May 2010 to May 2012. Information was collected at 7 time points and longitudinal analyses were performed. After training staff, the physical restraints in El Puig centre were phased out, while in the Conarda centre, restraints were still applied to elderly @entity1 . The main variables studied were: falls, psychotropic medication prescriptions, different indicators of @entity73 , and degree of @entity734 (Norton, NPI, Mini-mental, Tinetti, Barthel). RESULTS: In the El Puig centre all the physical restraints were removed. A slight improvement was seen in the number of falls, and their consequences. The ANOVA showed significant improvements in the centre that removed restraints in prescribing psychotropic medications, @entity73 , and behavioural changes. DISCUSSION: It is shown that removing physical restraints do not cause negative effects as regards the number of falls, and also positively affects the welfare and independence of elderly @entity1 (through changes in behaviour and @entity73 ). Furthermore, it is demonstrated that this program must be accompanied by the reduction and control of medicines (withdrawal of the number of psychotropic prescriptions).
