Bowers Len, Alexander Jane, Simpson Alan, Ryan Carl, Carr-Walker Paola
St Bartholomew School of Nursing and Midwifery, City University, Philpot Street, London, UK.
Int J Nurs Stud. 2007 Mar;44(3):349-56. doi: 10.1016/j.ijnurstu.2005.03.002. Epub 2005 Apr 21.
Difficult and challenging behaviour by inpatients is a feature of acute psychiatric ward life. Different methods are used to contain these behaviours, and there is international variation in which are approved of or used. Previous research suggests that staff attitudes to patients may affect their willingness to use, or choice of, method. The aim of this study was to explore the relationship between approval of containment measures, perception of aggression and attitude to personality disorder. A survey of student psychiatric nurses was conducted, and using three attitudinal questionnaires related to aggression and containment. An association was found between positive attitude to patients and the approval of containment methods that involved nurses being in personal contact with patients. There was evidence that students' attitudes to patients deteriorated over time. The results highlighted the importance of (and linkage between) staffs' feelings of anger and fear towards patients, and their preparedness to use containment measures.
住院患者的困难和具有挑战性的行为是急性精神科病房生活的一个特征。人们采用不同方法来控制这些行为，并且在哪些方法得到认可或被使用方面存在国际差异。先前的研究表明，工作人员对患者的态度可能会影响他们使用某种方法的意愿或对方法的选择。本研究的目的是探讨对控制措施的认可、对攻击行为的认知与对人格障碍的态度之间的关系。对精神科实习护士进行了一项调查，并使用了三份与攻击行为和控制措施相关的态度问卷。研究发现，对患者持积极态度与认可护士与患者进行个人接触的控制方法之间存在关联。有证据表明，随着时间的推移，学生对患者的态度会变差。结果突出了工作人员对患者的愤怒和恐惧情绪以及他们使用控制措施的意愿（两者之间的联系）的重要性。
