儿科精神科日间医院中隔离和约束的风险因素
Risk Factors for Seclusion and Restraint in a Pediatric Psychiatry Day Hospital.
作者信息
Timbo Wuroh, Sriram Aishwarya, Reynolds Elizabeth K, DeBoard-Lucas Renee, Specht Matthew, Howell Carolyn, McSweeney Colleen, Grados Marco A
机构信息
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 1800 Orleans St., 12th Floor, Baltimore, MD, 21287, USA.
Johns Hopkins University, Baltimore, MD, USA.
出版信息
Child Psychiatry Hum Dev. 2016 Oct;47(5):771-9. doi: 10.1007/s10578-015-0608-1.
The use of seclusion and restraints (SR) in acute hospital settings remains a controversial practice. Despite the focus on SR in the psychiatric services literature, data on SR use in pediatric day hospital settings is lacking. A case-control retrospective analysis for children admitted into a pediatric psychiatry day hospital in a 2-year span examined predictors of SR use. Demographic and clinical descriptors were examined in relation to SR events using univariate and multivariate regression models. Significant univariate risk factors for SR use were psychiatric morbidity, history of physical abuse, post-traumatic stress disorder, having any anxiety disorder, and younger age. Knowledge of risk factors for SR use in pediatric psychiatric day hospitals can avert use of SR and lead to improved safety in a trauma-informed care model.
在急性医院环境中使用隔离和约束措施仍然是一种有争议的做法。尽管精神科服务文献中重点关注隔离和约束措施，但缺乏关于儿科日间医院环境中使用隔离和约束措施的数据。一项针对在两年时间内入住儿科精神科日间医院的儿童的病例对照回顾性分析，研究了使用隔离和约束措施的预测因素。使用单变量和多变量回归模型，研究了人口统计学和临床描述因素与隔离和约束事件之间的关系。使用隔离和约束措施的显著单变量风险因素包括精神疾病、身体虐待史、创伤后应激障碍、患有任何焦虑症以及年龄较小。了解儿科精神科日间医院中使用隔离和约束措施的风险因素，可以避免使用隔离和约束措施，并在创伤知情护理模式下提高安全性。
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