Hospital District of Helsinki and Uusimaa, Kellokoski Hospital, Tuusula, Finland.
Int J Ment Health Nurs. 2013 Feb;22(1):47-55. doi: 10.1111/j.1447-0349.2012.00838.x. Epub 2012 Sep 25.
Though some empirical and anecdotal accounts can be located in the extant literature, it remains the case that little is known about how secluded/restrained (S/R) patients perceive their overall treatment. The purpose of this study was to explore patients' perceptions of their hospital treatment measured after S/R. The data were collected with a Secluded and Restrained Patients' Perceptions of their Treatment (S/R-PPT) questionnaire from S/R patients aged 18-65 years. Ninety completed questionnaires were analysed. Patients perceived that they received enough attention from staff, and they were able to voice their opinions, but their opinions were not taken into account. Patients denied the necessity and beneficence of S/R. Women and older patients were more critical than men and younger patients regarding the use of restrictions. There were also statistically-significant differences in responses among patients at different hospitals. It is concluded that patients' opinions need more attention in treatment decisions. To achieve this, psychiatric treatment needs genuine dialogue between patients and staff, and individual care should have alternatives and no routine decisions. Therefore, the treatment culture must improve towards involving patients in treatment planning, and giving them a say when S/R is considered.
尽管在现有文献中可以找到一些经验和轶事证据，但对于被隔离/约束（S/R）的患者如何看待他们的整体治疗，我们知之甚少。本研究旨在探讨 S/R 后患者对其住院治疗的看法。研究数据来自 18-65 岁 S/R 患者的《隔离和约束患者对其治疗的看法（S/R-PPT）问卷》。分析了 90 份完成的问卷。患者认为他们得到了足够的医护人员关注，并且能够发表自己的意见，但他们的意见并未被采纳。患者否认 S/R 的必要性和益处。与男性和年轻患者相比，女性和老年患者对使用限制的批评更为严厉。不同医院的患者在回答问题时也存在统计学上的显著差异。结论是，在治疗决策中需要更加关注患者的意见。为了实现这一目标，精神科治疗需要患者和医务人员之间进行真正的对话，并且在考虑 S/R 时，应给予患者选择权和个人关怀，而不是常规决策。因此，治疗文化必须朝着让患者参与治疗计划并在 S/R 时发表意见的方向改进。
