Mérineau-Côté Julie, Morin Diane
Département de psychologie, Chaire de Déficience intellectuelle et troubles du comportement, Université du Québec à Montréal, Montréal, QC, Canada.
J Appl Res Intellect Disabil. 2014 Sep;27(5):447-57. doi: 10.1111/jar.12069. Epub 2013 Aug 22.
Restrictive measures may have important physical and psychological consequences on all persons involved. The current study examined how these are perceived by persons with intellectual disabilities and staff.
Interviews were conducted with eight persons with intellectual disabilities who experienced a restrictive measure and their care providers. They were queried on their understanding of the restrictive measure, its impact on the relationship, their emotions and alternative interventions.
Restrictive measures were experienced negatively by persons with intellectual disabilities and their care providers. Service users reported feeling sad and angry, whereas staff mentioned feeling anxious. Moreover, persons with intellectual disabilities appeared to understand the goal of restrictive measures (e.g. ensuring their own and others' safety) and identified alternative interventions (e.g. speaking with a staff member or taking a walk).
This study sheds further light on how persons with intellectual disabilities and staff experience the application of restrictive measures. Debriefing sessions with service users and staff may help minimize negative consequences.
限制措施可能会对所有相关人员产生重要的生理和心理影响。本研究调查了智障人士和工作人员对这些影响的看法。
对8名经历过限制措施的智障人士及其护理人员进行了访谈。询问了他们对限制措施的理解、其对关系的影响、他们的情绪以及替代干预措施。
智障人士及其护理人员对限制措施的体验是负面的。服务使用者表示感到悲伤和愤怒，而工作人员则提到感到焦虑。此外，智障人士似乎理解限制措施的目的（如确保自身和他人安全），并确定了替代干预措施（如与工作人员交谈或散步）。
本研究进一步揭示了智障人士和工作人员如何体验限制措施的应用。与服务使用者和工作人员进行汇报会可能有助于将负面影响降至最低。
