Department of Psychiatry, University of Turku, Department of Nursing Science, Turku, Finland.
Perspect Psychiatr Care. 2012 Jan;48(1):16-24. doi: 10.1111/j.1744-6163.2010.00301.x. Epub 2011 Feb 16.
This study explored psychiatric inpatients' experiences of, and their suggestions for, improvement of seclusion/restraint, and alternatives to their use in Finland.
The data were collected by focused interviews (n= 30) and were analyzed with inductive content analysis.
Patients' perspectives received insufficient attention during seclusion/restraint processes. Improvements (e.g., humane treatment) and alternatives (e.g., empathetic patient-staff interaction) to seclusion/restraint, as suggested by the patients, focused on essential parts of nursing practice but have not been largely adopted.
Patients' basic needs have to be met, and patient-staff interaction has to also continue during seclusion/restraint. Providing patients with meaningful activities, planning beforehand, documenting the patients' wishes, and making patient-staff agreements reduce the need for restrictions and offer alternatives for seclusion/restraint. Service users must be involved in all practical development.
本研究探讨了精神科住院患者对约束/隔离的体验，以及他们对改善约束/隔离条件和替代约束/隔离的建议，该研究在芬兰进行。
通过焦点访谈（n=30）收集数据，并采用归纳内容分析法进行分析。
在约束/隔离过程中，患者的观点没有得到足够的重视。患者提出的约束/隔离改进措施（如人性化治疗）和替代措施（如富有同理心的医患互动）侧重于护理实践的重要部分，但尚未得到广泛采用。
在约束/隔离期间，必须满足患者的基本需求，同时也要保持医患互动。为患者提供有意义的活动、事先计划、记录患者的意愿，并制定医患协议，可以减少对限制的需求，并提供约束/隔离的替代方案。必须让服务使用者参与所有实际的发展。
