Bak, Jesper3; Brandt-Christensen, Anne Mette2; Sestoft, Dorte Maria4; Zoffmann, Vibeke5
1 Psykiatrisk Center Sct. Hans, Mental Health Services, The Capital Region of Denmark2 Psykiatrisk Center Glostrup, Mental Health Services, The Capital Region of Denmark3 Psykiatrisk Center Sct. Hans, Retspsykiatrisk afd. R, Psykiatrisk Center Sct. Hans, Mental Health Services, The Capital Region of Denmark4 unknown5 Afdeling for Sygeplejevidenskab
PURPOSE: To identify interventions preventing mechanical restraints. DESIGN AND METHODS: Systematic review of international research papers dealing with mechanical restraint. The review combines qualitative and quantitative research in a new way, describing the quality of evidence and the effect of intervention. FINDINGS: Implementation of cognitive milieu therapy, combined interventions, and patient-centered care were the three interventions most likely to reduce the number of mechanical restraints. PRACTICE IMPLICATIONS: There is a lack of high-quality and effective intervention studies. This leaves patients and metal health professionals with uncertainty when choosing interventions in an attempt to prevent mechanical restraints.
Perspectives in Psychiatric Care, 2012, Vol 48, Issue 2, p. 83-94