Department of Psychiatry, Beth Israel Medical Center, First Ave. and 16th St., New York, NY 10003, USA.
Psychiatr Serv. 2010 Feb;61(2):193-5. doi: 10.1176/ps.2010.61.2.193.
This case-control study examined the role of early medication management in preventing seclusion and restraint.
Data were extracted from the medical records, including whether standing medication was increased, decreased, or left unchanged during the first 48 hours of hospitalization.
Compared with inpatients who did not experience seclusion or restraint (N=39), those who did (N=39) were younger (p=.01) and more likely to be male (p=.023) and to have a primary discharge diagnosis of bipolar disorder, mixed or manic episode, schizophrenia, or schizoaffective disorder (p<.001). Patients whose standing medication was not changed during the first 48 hours of hospitalization had 5.5 times as many restraints as patients whose dose was increased or who received new prescriptions (p=.027).
Early use of medication can reduce the incidence of seclusion and restraint among high-risk patients early in their hospitalization.
本病例对照研究旨在探讨早期药物管理在预防隔离和约束中的作用。
从病历中提取数据，包括住院前 48 小时内是否增加、减少或维持原有剂量的站立药物。
与未经历隔离或约束的住院患者（N=39）相比，经历过隔离或约束的患者（N=39）年龄更小（p=.01），且更可能为男性（p=.023），首发出院诊断为双相障碍、混合或躁狂发作、精神分裂症或分裂情感障碍（p<.001）。在住院前 48 小时内未改变站立药物剂量的患者接受约束的次数是剂量增加或新处方患者的 5.5 倍（p=.027）。
早期使用药物可以降低高危患者住院早期隔离和约束的发生率。
