Way B B, Banks S M
Bureau of Survey and Evaluation Research, New York State Office of Mental Health, NY 12229.
Hosp Community Psychiatry. 1990 Jan;41(1):75-81. doi: 10.1176/ps.41.1.75.
Use of seclusion and restraint in 23 adult public psychiatric hospitals in New York State was examined by comparing demographic and diagnostic characteristics of 657 patients who were secluded or restrained during a four-week period with characteristics of 22,939 patients who were not. Logit analysis was used to calculate the probability of seclusion and restraint of individual patients with various combinations of characteristics. Characteristics associated with high probabilities included age less than 26 years, length of stay from 30 to 365 days, involuntary legal status, female gender, a diagnosis of mental retardation, and residence in a hospital with a high rate of seclusion and restraint. The rate of seclusion and restrain in the 23 hospitals ranged from .4 to 9.4 percent of patients. Both patient characteristics and the hospital of residence were needed to explain the case-by-case probability of a patient's being secluded or restrained.
通过比较纽约州23家成人公立精神病医院中在四周内被隔离或约束的657名患者的人口统计学和诊断特征与22939名未被隔离或约束患者的特征，对隔离和约束的使用情况进行了研究。采用逻辑回归分析来计算具有各种特征组合的个体患者被隔离和约束的概率。与高概率相关的特征包括年龄小于26岁、住院时间为30至365天、非自愿法律状态、女性、智力发育迟缓诊断以及居住在隔离和约束率高的医院。这23家医院的隔离和约束率在患者的0.4%至9.4%之间。患者特征和居住医院都需要用来解释患者被隔离或约束的逐案概率。
