Effects of small-scale, home-like facilities in dementia care on residents’ behavior, and use of physical restraints and psychotropic drugs: a quasi-experimental study

2014 ◽  
Vol 26 (4) ◽  
pp. 657-668 ◽  
Author(s):  
Hilde Verbeek ◽  
Sandra M.G. Zwakhalen ◽  
Erik van Rossum ◽  
Ton Ambergen ◽  
Gertrudis I.J.M. Kempen ◽  
...  
Keyword(s):  
Experimental Study ◽  
Nursing Care ◽  
Psychotropic Drugs ◽  
Social Engagement ◽  
Dementia Care ◽  
Small Scale ◽  
Physical Restraints ◽  
Positive Effects ◽  
Quasi Experimental

ABSTRACTBackground:Small-scale, home-like care environments are increasingly implemented in institutional nursing care as a model to promote resident-directed care, although evidence on its effects is sparse. This study focuses on the effects of small-scale living facilities on the behavior of residents with dementia and use of physical restraints and psychotropic drugs.Methods:A quasi-experimental study was conducted comparing residents in two types of long-term institutional nursing care (i.e. small-scale living facilities and traditional psychogeriatric wards) on three time points: at baseline and follow-ups after six and 12 months. Residents were matched at baseline on cognitive and functional status to increase comparability of groups at baseline. Nurses assessed neuropsychiatric and depressive symptoms, agitation, social engagement, and use of physical restraints using questionnaires. Psychotropic drug use was derived from residents’ medical records.Results:In total, 259 residents were included: 124 in small-scale living facilities and 135 controls. Significantly fewer physical restraints and psychotropic drugs were used in small-scale living facilities compared with traditional wards. Residents in small-scale living facilities were significantly more socially engaged, at baseline and after six months follow-up, and displayed more physically non-aggressive behavior after 12 months than residents in traditional wards. No other differences were found.Conclusions:This study suggests positive effects of small-scale living facilities on the use of physical restraints and psychotropic drugs. However, the results for behavior were mixed. More research is needed to gain an insight on the relationship between dementia care environment and other residents’ outcomes.

Quality of life of residents with dementia in traditional versus small-scale long-term care settings: A quasi-experimental study

2012 ◽  
Vol 49 (8) ◽  
pp. 931-940 ◽  
Author(s):  
Alida H.P.M. de Rooij ◽  
Katrien G. Luijkx ◽  
Juliette Schaafsma ◽  
Anja G. Declercq ◽  
Peggy M.J. Emmerink ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Experimental Study ◽  
Long Term Care ◽  
Small Scale ◽  
Term Care ◽  
Quasi Experimental

scholarly journals Regular swimming session improves metabolic syndrome risk factors in women and men from Palestine: Quasi-experimental study

2020 ◽  
Author(s):  
Jamal Omar ◽  
Nidal Jaradat ◽  
Mohammad Qadoumi ◽  
Abdel Naser Qadoumi
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
Experimental Study ◽  
Reference Group ◽  
High Density Lipoproteins ◽  
Post Exercise ◽  
Quasi Experimental ◽  
Blood Pressures

Abstract Background: Swimming and other aquatic fitness are important aerobic exercises that have been proposed as an effective nonpharmacological approach in the management of type 2 diabetes (T2DM), hyperlipidemia, and hypertension (HTN). The current study aimed to assess the effect of long-term swimming sessions on glycemic and lipidemic parameters, body composition, and hemodynamic responses for patients with metabolic risk factors. Methods: Forty participants from both genders with T2DM and HTN (aged 52.4±5.5 yrs) agreed to take part in this quasi-experimental study and were divided into two groups. The first group included the participants who performed long-term swimming sessions and the second group served as the reference. The first group exercised for 2 h, 3 times/week in 29-33 ◦C swimming pool for 16 weeks. While the reference group did not participate in any kind of exercise and advised to keep on with their normal lifestyle. All the obtained metabolic syndrome risk factors data were analyzed using a paired t-test which was applied to separately determine the differences between pre- and post-tests for both genders and groups, and the percentage of change (Δ %) was computed. Independent t-test was applied to determine the differences in the post-tests (Exp. vs Ref) in men patients as well as for women separately. Results: The results showed that there were statistically significant differences at p ≤ 0.05 between pre- and post- exercise concerning Total Cholesterol (TC), High-Density Lipoproteins (HDL), Low-Density Lipoproteins (LDL), Triglycerides (TG), glycemic parameters, systolic and diastolic blood pressures, body mass index (BMI) and fat mass percent in favor of posttests in the experimental group for both genders. Whereas, no significant differences were found at p≤0.05 between pre- and post-tests for all studied variables in the reference group for both genders. Significant differences were found at p≤0.05 on the post-tests in favor of the experimental for both genders.Conclusion: Findings of the current study suggested that the regular 16 weeks of the conducted swimming sessions could be considered as nonpharmacological approaches in the management of T2DM and HTN.

Is an unhealthy work environment in nursing home care for people with dementia associated with the prescription of psychotropic drugs and physical restraints?

2016 ◽  
Vol 28 (6) ◽  
pp. 983-994 ◽  
Author(s):  
Bernadette M. Willemse ◽  
Jan de Jonge ◽  
Dieneke Smit ◽  
Wouter Dasselaar ◽  
Marja F. I. A. Depla ◽  
...  
Keyword(s):  
Work Environment ◽  
Psychotropic Drugs ◽  
Long Term Care ◽  
Longitudinal Research ◽  
Nursing Home Care ◽  
Physical Restraints ◽  
Term Care ◽  
People With Dementia ◽  
Care Facilities

ABSTRACTBackground:Research showed that long-term care facilities differ widely in the use of psychotropic drugs and physical restraints. The aim of this study is to investigate whether characteristics of an unhealthy work environment in facilities for people with dementia are associated with more prescription of psychotropic drugs and physical restraints.Methods:Data were derived from the first wave (2008–2009) of a national monitoring study in the Netherlands. This paper used data on prescription of psychotropic drugs and physical restraints from 111 long-term care facilities, residing 4,796 residents. Survey data of a sample of 996 staff and 1,138 residents were considered. The number of residents with prescribed benzodiazepines and anti-psychotic drugs, and physical restraints were registered. Work environment was assessed using the Leiden Quality of Work Questionnaire (LQWQ).Results:Logistic regression analyses showed that more supervisor support was associated with less prescription of benzodiazepines. Coworker support was found to be related to less prescription of deep chairs. Job demands and decision authority were not found to be predictors of psychotropic drugs and physical restraints.Conclusions:Staff's job characteristics were scarcely related to the prescription of psychotropic drugs and physical restraints. This finding indicates that in facilities with an unhealthy work environment for nursing staff, one is not more likely to prescribe drugs or restraints. Further longitudinal research is needed with special attention for multidisciplinary decision making – especially role of physician, staff's knowledge, philosophy of care and institutional policy to gain further insight into factors influencing the use of psychotropic drugs and restraints.

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