Objective: To estimate the prevalence of mechanical restraint in the hospital environment and the factors associated with its performance. Method: A cross-sectional, observational study with patients from a public hospital from the medical clinic, surgical clinic and intensive care unit evaluated by descriptive, univariate and multivariate analyses. Results: One hundred eleven (111) patients participated in the study. The prevalence of mechanical restraint was 51.4%; bilateral rails on the bed were used in 100% of the restraints, and bilateral wrist restraints were also observed in 29.8%. The most common justifications were the risk of falls (100.0%) and the risk of non-scheduled removal of invasive devices (57.9%). The restrained patients differ significantly from those not restrained by the following associated factors: male gender; age; stroke diagnosis; the hospitalization unit; ambulation capacity; the use of sedative medication; and the use of invasive devices. Conclusion: This study estimated a high mechanical restraint prevalence in the hospital environment and determined factors associated with the risk of a patient being restrained. A medical restraint evaluation team is recommended for an in-depth analysis of indication and therapy.

Objective: to develop a protocol of recommendations for facing dissemination of COVID-19 in Brazilian Nursing Homes. Method: a study of experts’ recommendations using a structured form applied through the Delphi Technique, obtaining 100% agreement among professionals after four rounds of analysis. The population comprised six nurses members of the Scientific Department of Gerontological Nursing of the Brazilian Association of Nursing (Associação Brasileira de Enfermagem) Results: the protocol was structured in a nucleus of nursing interventions to face the spread of COVID-19 in Nursing Homes, consisting of 8 actions. Final considerations: the protocol can help nurse managers to organize assistance to face the pandemic, which can be adaptable to each reality, making training nurses and health teams easier.

Objective: to identify the use of mechanical restraint in long-stay institutions for the elderly. Method: this is a bibliographical study, type integrative review, in articles published from 2005 to 2015, in the Databases MEDLINE, LILACS, CINAHL and SCOPUS. The results are presented in figures. The results were discussed comparing the studies and conclusions with the literature. Results: 15 articles were published and the continent with the highest production was Europe, followed by North America and Asia. It was inferred that the most used forms were the containment with grids in the bed and the containment by the trunk in wheelchair, in older people, with high dependence and immobility, and the reason for the restraint, was mostly to prevent the risk of falls and institutional routine. Conclusion: it has been demonstrated that there is a high prevalence of mechanical restraint in long-stay institutions for the elderly, with high variability, and efforts have been made to avoid adverse events and improve the quality of care. The importance of studying the theme in the country and in the Latin American reality is reinforced. Descriptors: Physical Restriction; Institution of Long Stay for the Elderly; Geriatric Nursing; Health of the Elderly; Nursing Care; Health Services for the Elderly. RESUMOObjetivo: identificar o uso da contenção mecânica em instituições de longa permanência para idosos. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa, em artigos publicados de 2005 a 2015, nas Bases de Dados MEDLINE, LILACS, CINAHL e SCOPUS. Apresentam-se os resultados em figuras. Realizou-se a discussão dos resultados comparando-se os estudos e conclusões com a literatura. Resultados: publicaramse 15 artigos e o continente com maior produção foi a Europa, em seguida, a América do Norte e a Ásia. Inferiu-se que as formas mais utilizadas foram a contenção com grades no leito e a contenção pelo tronco em cadeira de rodas, em pessoas mais idosas, com alta dependência e imobilidade, e a razão para a contenção, em sua maioria, foi para prevenir o risco de quedas e a rotina institucional. Conclusão: demonstrou-se que há alta prevalência de contenção mecânica em instituições de longa permanência para idosos, com alta variabilidade e têm-se assumido esforços para se evitar eventos adversos e melhorar a qualidade dos cuidados. Reforça-se a importância de estudar o tema no país e na realidade latino-americana. Descritores: RESUMENObjetivo: identificar el uso de la contención mecánica en instituciones de larga permanencia para ancianos. Método: se trata de un estudio bibliográfico, tipo revisión integrativa, en artículos publicados de 2005 a 2015, en las Bases de Datos MEDLINE, LILACS, CINAHL y SCOPUS. Se presentan los resultados en figuras. Se realizó la discusión de los resultados comparando los estudios y conclusiones con la literatura. Resultados: se publicaron 15 artículos y el continente con mayor producción fue Europa, luego, América del Norte y Asia. Se consideró que las formas más utilizadas fueron la cont...

Objective: to estimate the mechanical restraint prevalence in Nursing Homes in Brazil and the factors associated with its performance. Methods: this cross-sectional study was carried out in 14 institutions, with a final sample of 443 elderly people. Mechanical restraint was considered as a dependent variable. Results: there was a 7.45% prevalence of mechanical restraint considering bed rails and 3.84% without considering bed rails. Main justification for restraint use was risk of falls (66.7%), and restraint duration was 24 hours (84.8%). The factors associated with the dependent variable were: wandering (p=0.000); MMSE, with cognitive loss (p=0.000); Katz Index, with dependence for Activities of Daily Living (p=0.000); and Alzheimer’s comorbidity (p=0.001) Conclusion: prevalence was lower than international studies, but there was an association with worsening of wandering, dependence, cognitive worsening, and Alzheimer’s Disease, showing the need for alternative interventions to mechanical restraint.

Objetivos: Identificar na literatura publicações que abordem o uso de contenção mecânica na atenção domiciliar. Métodos: Revisão integrativa da literatura realizadas nas bases de dados MEDLINE, LILACS, CINAHL e SCOPUS, no período de 2008 a 2018. Resultados: As prevalências de contenção física variavam entre 20% a 40%, a alta variação ser refere as distintas metodologias e legislações vigentes quanto à pratica de contenção física. A grade lateral é a contenção mais comum e as razões mais citadas para conter foram segurança do paciente, para evitar quedas e pedido dos familiares. Identificou-se que 16,7% dos profissionais afirmaram ter aconselhado aos cuidadores o uso de restrições e, que 93% destes não souberam identificar alternativas para esta prática. Conclusão: Recomenda-se orientações específicas ao cuidado domiciliar centradas nas famílias, evitando a transposição inadequada do meio hospitalar para o âmbito domiciliar, e disseminar intervenções alternativas à contenção.