Poreddi Vijayalakshmi, Ramu Rajalakshmi, Selvi Sugavana, Gandhi Sailaxmi, Krishnasamy Lalitha, Suresh B M
Department of Nursing, National Institute of Mental Health and Neurosciences, Institute of National Importance, Bengaluru, Karnataka, India.
College of Nursing, National Institute of Mental Health and Neurosciences, Institute of National Importance, Bengaluru, Karnataka, India.
J Neurosci Rural Pract. 2017 Jan-Mar;8(1):89-95. doi: 10.4103/0976-3147.193527.
Coercion is not uncommon phenomenon among mental health service users during their admission into psychiatric hospital. Research on perceived coercion of psychiatric patients is limited from India.
To investigate perceived coercion of psychiatric patients during admission into a tertiary care psychiatric hospital.
This was a cross-sectional descriptive survey carried out among randomly selected psychiatric patients ( = 205) at a tertiary care center. Data were collected through face-to-face interviews using structured questionnaire.
Our findings revealed that participants experienced low levels of coercion during their admission process. However, a majority of the participants were threatened with commitment (71.7%) as well as they were sad (67.8%), unpleased (69.7%), confused (73.2%), and frightened (71.2%) with regard to hospitalization into a psychiatric hospital. In addition, the participants expressed higher levels of negative pressures (mean ± standard deviation, 3.76 ± 2.12). Participants those were admitted involuntarily ( > 0.001), diagnosed to be having psychotic disorders ( > 0.003), and unmarried ( > 0.04) perceived higher levels of coercion.
The present study showed that more formal coercion was experienced by the patients those got admitted involuntarily. On the contrary, participants with voluntary admission encountered informal coercion (negative pressures). There is an urgent need to modify the Mental Health Care (MHC) Bill so that treatment of persons with mental illness is facilitated. Family member plays an important role in providing MHC; hence, they need to be empowered.
在精神卫生服务使用者入住精神病院期间，强制并非罕见现象。来自印度的关于精神病患者所感受到的强制的研究有限。
调查三级护理精神病院住院期间精神病患者所感受到的强制情况。
这是一项在三级护理中心对随机选取的205名精神病患者开展的横断面描述性调查。通过使用结构化问卷进行面对面访谈收集数据。
我们的研究结果显示，参与者在入院过程中感受到的强制程度较低。然而，大多数参与者受到强制住院的威胁（71.7%），并且对于入住精神病院，他们感到悲伤（67.8%）、不悦（69.7%）、困惑（73.2%）和恐惧（71.2%）。此外，参与者表达了较高程度的负面压力（均值±标准差，3.76±2.12）。非自愿入院的参与者（>0.001）、被诊断患有精神障碍的参与者（>0.003）以及未婚参与者（>0.04）感受到的强制程度更高。
本研究表明，非自愿入院的患者经历了更多形式上的强制。相反，自愿入院的参与者遭遇了非正式的强制（负面压力）。迫切需要修订《精神卫生保健法》（MHC），以便为精神疾病患者的治疗提供便利。家庭成员在提供精神卫生保健方面发挥着重要作用；因此，需要增强他们的能力。
