Institute for Health and Social Science Research and School of Nursing and Midwifery, CQUniversity Australia, Bruce Highway, Rockhampton, 4702, Queensland, Australia.
Arch Psychiatr Nurs. 2011 Oct;25(5):e1-8. doi: 10.1016/j.apnu.2011.04.001. Epub 2011 Jun 11.
Seclusion has remained a common practice in mental health services. In Australia, recent mental health policy has reflected a desire to reduce (and, if possible, eliminate) the use of seclusion. The collection and analysis of data on the use of seclusion have been identified as an important component of the success of reduction initiatives. A cross-sectional design was used in the collection of inpatient unit data on seclusions that occurred in 11 mental health services in Australia over a 6-month period. During this time, there were 4,337 episodes of care. One or more seclusions occurred in 6.8% of episodes of care, with consumers being secluded, on average, 2.32 times and with 44% of them having been secluded more than once. The average length of the seclusions was 2 hours 52 minutes, with 51.4% of seclusions being less than 2 hours. These rates were lower than those reported in previous research studies. The practice of seclusion occurred more commonly on the first 2 days following admission, on weekdays than weekends, and between the hours of 9:00 a.m. and midnight. An understanding of seclusion data can provide fundamental information from which strategies to reduce seclusion can be developed.
在精神卫生服务中，隔离一直是一种常见的做法。在澳大利亚，最近的精神卫生政策反映了减少（如果可能的话，消除）隔离的愿望。收集和分析关于隔离使用的数据已被确定为减少措施成功的重要组成部分。在收集澳大利亚 11 个精神卫生服务机构在 6 个月期间发生的住院病人隔离数据时，采用了横断面设计。在此期间，有 4337 个护理疗程。在 6.8%的护理疗程中发生了一次或多次隔离，平均每个疗程隔离 2.32 次，其中 44%的人被隔离超过一次。隔离的平均时间为 2 小时 52 分钟，其中 51.4%的隔离时间少于 2 小时。这些比率低于以前的研究报告中所报告的比率。隔离的做法更常见于入院后的头 2 天，在工作日比周末更常见，并且在上午 9 点到午夜之间。对隔离数据的了解可以提供基本信息，从而制定减少隔离的策略。
