Sercan Mustafa, Bilici Rabia
Turk Psikiyatri Derg. 2009 Spring;20(1):37-48.
To obtain a database to be used in the effort to reduce the use of restraint in mental health hospitals in Turkey, and to compare the data with results of similar studies.
The sociodemographic characteristics, history of violent or suicidal behavior, and BPRS scores of patients restrained during a 1-month period, and data concerning the number of beds and staff working during day and night shifts were collected. The restraint variables, number of restraints used and duration of restraint use, in all wards were determined and adult psychosis wards were compared according to these variables.
Approximately 25% (194) of 810 hospitalized patients were restrained for a total of 1524.25 h (mean: 3.25 h) during 1 month. In all, 182 restrained patients were analyzed and most were male, elementary school graduates, never married, and living with first-degree relatives. There were no correlations between these variables, and the number of restraints used and the duration of their use. Mean age of the females (36.27 years) was higher than that of the males (32.46 years); the difference was significant. In all, 66.6% of restraint use was because of violent behavior or the probability of violent behavior. The rate of restraint use was lower during day shifts (43.82%). Patients on adult wards were not different in terms of diagnosis, BPRS score, rate of violent behavior, and reasons for using restraint, but were markedly different in terms of the number of restraints used and the duration of restraint.
The number of restraints used and the duration of restraint was on average level. Restraint was associated with being female and older, and having more severe symptoms. Night and weekend shifts were more risky for amount and duration of restraint. Non-clinical institutional factors were a determining factor in the use of restraint.
建立一个数据库，以助力减少土耳其精神病院的约束措施使用情况，并将该数据与类似研究结果进行比较。
收集了1个月内被约束患者的社会人口学特征、暴力或自杀行为史以及简明精神病评定量表（BPRS）评分，以及日间和夜间工作的床位数量和工作人员数据。确定了所有病房的约束变量，即约束措施的使用次数和使用时长，并根据这些变量对成人精神病病房进行了比较。
810名住院患者中约25%（194人）在1个月内共被约束1524.25小时（平均：3.25小时）。总共分析了182名被约束患者，其中大多数为男性，小学毕业，未婚，与一级亲属同住。这些变量与约束措施的使用次数及其使用时长之间无相关性。女性的平均年龄（36.27岁）高于男性（32.46岁）；差异具有统计学意义。总体而言，66.6%的约束措施使用是由于暴力行为或暴力行为的可能性。日间班次的约束措施使用率较低（43.82%）。成人病房的患者在诊断、BPRS评分、暴力行为发生率和约束措施使用原因方面无差异，但在约束措施的使用次数和使用时长方面存在显著差异。
约束措施的使用次数和使用时长处于平均水平。约束措施的使用与女性、年龄较大以及症状更严重有关。夜间和周末班次在约束措施的使用量和使用时长方面风险更高。非临床机构因素是约束措施使用的决定性因素。
