Subjective effectiveness and safety of twiddle muff for staff to reduce the wearing of mittens

Abstract

This study investigated the subjective effects and safety of using a twiddle muff to reduce the wearing of mittens by care staff for older patients with dementia. A survey was conducted among hospital staff using muffs since January 2022. In addition to the use of questionnaires, the staff were interviewed via the Zoom platform. A total of 18 participants were surveyed, including 15 nurses (83.3%) and 3 physical and occupational therapists (16.8%). Based on the responses to the questionnaire, all participants indicated that the muffs were effective in "removing or reducing physical restraints," and 11 participants (61.1%) pointed out that the muffs were effective in "alleviating behavioral and psychological symptoms" of dementia. The effects of the twiddle muff, as perceived by the staff, were as follows: 1) provides relief from physical and mental tension by reducing mitten restraints and inducing relaxation by pleasant sensory stimulation; 2) improves understanding and allows gentle communication with older patients with dementia; 3) promotes assistance and rehabilitation, enabling transfers and moving operations by reducing the act of clutching bed fences and lines; and 4) is useful as a rehabilitation method for preventing disuse syndrome. According to the staff surveyed, the use of the twiddle muff not only eased the distress of older patients with dementia but also helped the respondents understand dementia and promoted communication among themselves. However, it is necessary to objectively demonstrate the effectiveness of a twiddle muff in the future.