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Programme d'intervention visant à réduire l'utilisation des contentions physiques dans des unités de soins de longue durée — mise en oeuvre et effets sur le personnel soignant*

Published online by Cambridge University Press:  31 March 2010

Pierre J. Durand ,
Jean-Paul Ouellet ,
Line Beauchesne ,
André Tourigny ,
René Verreault ,
Louise Dicaire ,
Louise Lévesque ,
Sylvie Lauzon ,
Robin Gagnon  and
Louis Rochette
Pierre J. Durand*
Affiliation:
Unité de recherche en gériatrie de L'Université Laval, Centre d'hébergement Saint-Augustin du Centre Hospitalier Affilié universitaire de Québec, Beauport, Québec Département de médecine sociale et préventive de L'Université Laval, Québec Département de médecine de L'Université Laval, Québec
Jean-Paul Ouellet
Affiliation:
Unité de recherche en gériatrie de L'Université Laval, Centre d'hébergement Saint-Augustin du Centre Hospitalier Affilié universitaire de Québec, Beauport, Québec
Line Beauchesne
Affiliation:
Unité de recherche en gériatrie de L'Université Laval, Centre d'hébergement Saint-Augustin du Centre Hospitalier Affilié universitaire de Québec, Beauport, Québec
André Tourigny
Affiliation:
Unité de recherche en gériatrie de L'Université Laval, Centre d'hébergement Saint-Augustin du Centre Hospitalier Affilié universitaire de Québec, Beauport, Québec
René Verreault
Affiliation:
Unité de recherche en gériatrie de L'Université Laval, Centre d'hébergement Saint-Augustin du Centre Hospitalier Affilié universitaire de Québec, Beauport, Québec Département de médecine sociale et préventive de L'Université Laval, Québec Département de médecine de L'Université Laval, Québec
Louise Dicaire
Affiliation:
Unité de recherche en gériatrie de L'Université Laval, Centre d'hébergement Saint-Augustin du Centre Hospitalier Affilié universitaire de Québec, Beauport, Québec Hôpital Jeffrey Hale
Louise Lévesque
Affiliation:
Centre Hospitalier Côte des Neiges, Montréal
Sylvie Lauzon
Affiliation:
Faculté des sciences infirmières de L'Université de Montréal, Montréal
Robin Gagnon
Affiliation:
Direction des soins infirmiers, Centre hospitalier régional de Lanaudière, Saint-Charles Borromée
Louis Rochette
Affiliation:
Unité de recherche en gériatrie de L'Université Laval, Centre d'hébergement Saint-Augustin du Centre Hospitalier Affilié universitaire de Québec, Beauport, Québec
*
Les demandes de tirés à part doivent être addressées à : / Requests for offprints should be sent to: Pierre J. Durand, M.D., M.Sc., Unité de recherche en gériatrie de l'Université Laval, Centre d'hébergement Saint-Augustin du CHA, 2135, Terrasse-Cadieux, Beauport (Québec) G1C 1Z2. (pierre.durand@msp.ulaval.ca)
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Abstract

This study aimed at (a) developing a restraint reduction program, (b) describing its implementation in long-term care units, and (c) examining its effects on care staff's perceptions of and knowledge about the use of restraints. The program was composed of three parts: consciousness-raising meetings, staff education, and clinical follow-up. The study was a randomized, controlled clinical trial with eight intervention care units (five nursing homes) and 11 controls (five additional nursing homes). Care staff was surveyed at two time intervals over a 7-month period (pre- and post-test intervention; intervention care units: N = 171 [T0] and N = 158 [T1]; controls: N = 181 [T0] and N = 166 [T1]). The implementation of the program was successful and results showed significant changes in care staff perceptions of and knowledge about the use of restraints.

Résumé

Les buts de cette étude étaient de développer un programme d'intervention visant à réduire L'utilisation des contentions physiques, de décrire son implantation dans des unités de soins de longue durée et d'évaluer ses effets sur le personnel soignant en termes de connaissances et de perceptions quant à L'utilisation de ces contentions. Le programme comportait trois composantes: sensibilisation, formation et suivi clinique. Le devis méthodologique est celui d'un essai clinique randomisé à mesures répétées. Le questionnaire auto-administré a été rempli avant (T0) et sept mois (T1) après le début du programme par le personnel soignant de huit unités de soins expérimentales réparties dans cinq centres (N = 171 [T0]) et N = 158 [T1]) et de onze unités témoins provenant de cinq autres centres (N = 181 [T0] et N = 166 [T1]). Le programme a été implanté avec succès et s'est avéré efficace pour modifier les connaissances et les perceptions du personnel soignant en regard de L'utilisation des contentions physiques.

Keywords

agingphysical restraintsrestraints uselong-term carereducing restraintsstaff attitudesinterventionvieillissementcontention physiquesoins de longue duréepersonnel soignantperceptionconnaissanceintervention
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 21 , Issue 4 , Winter/Hiver 2002 , pp. 559 - 576
Copyright
Copyright © Canadian Association on Gerontology 2002

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Footnotes

*

Nous exprimons toute notre gratitude aux infirmières de recherche, mesdames Maryse Bernard, Thérèse Harrisson et Diane Richard qui ont recueilli les questionnaires dans les unités de soins. Nous tenons aussi à remercier la direction et le personnel des centres d'hébergement et de soins de longue durée (CHSLD) qui ont accepté de participer au projet de recherche.

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