Student, Faculté des sciences infirmières, Université de Montréal, Montreal, Quebec; Research Coordinator, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montreal, Quebec.
Can J Psychiatry. 2013 Sep;58(9):546-50. doi: 10.1177/070674371305800910.
To identify and describe the profiles of patients admitted to a psychiatric intensive care unit (PICU) as they relate to seclusion and restraint.
Multiple correspondence analysis (MCA) and cluster analysis were performed with data for 114 patients admitted to a PICU from June 8, 2010, to June 7, 2011.
The MCA revealed that the presence or absence of seclusion and restraint was the main factor explaining the variance. Admitted patients fall into 5 profiles, 2 of which are significantly associated with seclusion and restraint: young psychotic men and women with bipolar disorder.
The differentiation of patient profiles as they relate to seclusion and restraint should lead to the development of profile-specific interventions before, during, and after seclusion and restraint.
确定并描述精神科加强护理病房(PICU)中被隔离和约束患者的特征,分析其与隔离和约束的关系。
采用多对应分析(MCA)和聚类分析的方法,对 2010 年 6 月 8 日至 2011 年 6 月 7 日期间收入 PICU 的 114 名患者的数据进行分析。
MCA 显示,隔离和约束的存在与否是解释差异的主要因素。入院患者可分为 5 种类型,其中 2 种类型与隔离和约束显著相关:年轻的精神病男性和患有双相情感障碍的女性。
针对与隔离和约束相关的患者特征进行分类,应该可以在隔离和约束之前、期间和之后制定特定于特征的干预措施。