Abstract
Objective: The purpose of this scoping review was to clarify nursing care in order to prevent and reduce the need for physical restraints for older patients in general hospitals throughout Japan. Methods: We made use of the Japan Medical Abstracts Society’s database, identifying 326 relevant studies. Ultimately, 18 studies met the criteria of this review and were included. Results: By reviewing the selected abstracts, we were able to create six categories: “involvement for hospitalized patients to comfortably spend time in,” “consideration of patients’ safety”, “assessment for the timely withdrawal of physical restraints,” “assessment of care based on daily life,” “the construction of a dementia care system,” and “decision-making support to consider physical and mental states.” Conclusions: Preventing and reducing the need for physical restraints for older patients requires thorough basic care by nurses and the development of relevant education and culture by administrators.
