The Effect of a Restraint Reduction Program on Physical Restraint Rates in Rehabilitation Settings in Hong Kong
Table 2
(a) Sample profile of study and control sites (I)
Age
No. of diagnoses
MMSE
MBI
Morse fall scale
Intervention site
Preintervention phase
Mean ± SD
75.42 ± 10.71
3.05 ± 1.45a
16.74 ± 7.00
12.67 ± 5.54
30.33 ± 17.13
Median/range
77/31–100
3/1–7
17/0–30
13/0–20
25/0–80
Postintervention phase
Mean ± SD
74.80 ± 10.57
3.15 ± 1.50b
16.42 ± 7.15
11.99 ± 5.12
31.54 ± 17.13a
Median/range
76/23–98
3/1–9
16/0–30
13/0–20
25/0–90
0.200
0.286
0.375
0.016
0.239
Control site
Preintervention phase
Mean ± SD
59.14 ± 17.35
1.80 ± 1.159
25.37 ± 5.26
15.07 ± 3.20
20.74 ± 15.45
Median/range
64/17–88
1/1–7
27/0–30
15/4–20
15/0–80
Postintervention phase
Mean ± SD
62.90 ± 17.73c
1.93 ± 1.21
24.39 ± 6.53
15.07 ± 3.41
30.26 ± 16.91
Median/range
67/15–93
2/1–7
27/4–30
16/3–20
25/0–75
0.039
0.284
0.583
0.485
<.001
MMSE: Mini-Mental State Examination; MBI: Morse Fall Scale.
*Mann-Whitney U test, significant at 0.05.
aOne missing subject.
bThree missing subjects.
cOne missing subject.
(b) Sample profile of study and control sites (II)
Study site
Control site
Before intervention
After intervention
(X2)
Before intervention
After intervention
(X2)
%
%
-value
%
%
-value
Gender
M
185
46.5
300
49
0.43
62
41.9
54
34.8
0.207
F
213
53.5
312
51
86
58.1
101
65.2
Psychoactive drug
Yes
13
3.3
14
2.3
0.346
3
2
0
0
0.075
No
385
96.7
598
97.7
145
98
155
100
Vision
Normal
156
39.2
308
51. 2
<0.001
63
42.6
68
43.9
0.819
Impaired
242
60.8
293
48.8
85
57.4
87
56.1
Hearing
Normal
330
82.9
502
83.5
0.729
131
88.5
132
85.2
0.389
Impaired
68
17.1
99
16.5
17
11.5
23
14.8
Restraint status
Nevera
270
67.8
309
50.5
<0.001
142
95.9
134
86.5
0.01
Intermittentb
36
9
147
24
4
2.7
9
5.8
Continuousc
92
23.1
152
24.8
2
1.4
12
7.7
Type of restraint
Lap table
61
48
118
39.2
0.334
0
0
2
9.5
0.008
Vest
11
8.7
26
8.6
1
16.7
3
14.3
Wrist
0
0
1
0.3
—
—
—
—
Pelvic belt
—
—
—
—
2
33.3
0
0
Waist belt
—
—
—
—
2
33.3
3
14.3
Mittens
—
—
—
—
1
16.7
0
0
Others (bed rails)
55
43.3
156
51.8
0
0
13
61.9
History of fall in hospital
Yes
2
0.5
6
1
0.402
7
4.7
10
6.5
0.515
No
396
99.5
606
99
141
95.3
145
93.5
-values: a versus b in Control site: <0.001, b versus c: <0.001, a versus c: <0.001. -values: a versus b in Study site: <0.001, b versus c: <0.001, a versus c: 0.013.