Gastmans C, Milisen K
Center for Biomedical Ethics and Law, Catholic University of Leuven, Kapucijnenvoer 35, B-3000 Leuven, Belgium.
J Med Ethics. 2006 Mar;32(3):148-52. doi: 10.1136/jme.2005.012708.
This article gives a brief overview of the state of the art concerning physical restraint use among older persons in nursing homes. Within this context we identify some essential values and norms that must be observed in an ethical evaluation of physical restraint. These values and norms provide the ethical foundation for a number of concrete recommendations that could give clinical and ethical support to caregivers when they make decisions about physical restraint. Respect for the autonomy and overall wellbeing of older persons, a proportional assessment of the advantages and disadvantages, a priority focus on the alternatives to physical restraint, individualised care, interdisciplinary decision making, and an institutional policy are the central points that make it possible to deal responsibly with the use of physical restraint for older persons in nursing homes.
本文简要概述了养老院中老年人使用身体约束的现状。在此背景下，我们确定了在对身体约束进行伦理评估时必须遵守的一些基本价值观和规范。这些价值观和规范为一些具体建议提供了伦理基础，这些建议可为护理人员在做出关于身体约束的决策时提供临床和伦理支持。尊重老年人的自主权和整体福祉、对利弊进行相称评估、优先关注身体约束的替代方法、个性化护理、跨学科决策以及机构政策，这些要点使得能够以负责任的方式处理养老院中老年人身体约束的使用问题。
