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倾听患者视角:精神科住院患者对身体约束的态度。

Listening to the Patient Perspective: Psychiatric Inpatients' Attitudes Towards Physical Restraint.

机构信息

Shalvata Mental Health Center, Hod Hasharon, Israel.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Psychiatr Q. 2018 Sep;89(3):691-696. doi: 10.1007/s11126-018-9565-8.

DOI:10.1007/s11126-018-9565-8
PMID:29441444
Abstract

When other options fail, physical restraint is used in inpatient psychiatric units as a means to control violent behavior of agitated inpatients and to prevent them from harm. The professional and social discourse regarding the use of restrictive measures and the absence of the inpatients' attitudes towards these measures is notable. Our research therefore tries to fill this gap by interviewing inpatients about these issues. To assess the subjective experience and attitudes of inpatients who have undergone physical restraint. Forty inpatients diagnosed with psychiatric disorders were interviewed by way of a structured questionnaire. Descriptive statistics were conducted via use of SPSS statistical software. 1.Inpatients reported that physical restraint evoked an experience of loneliness (77.5%) and loss of autonomy (82.5%). 2.Staff visits during times of physical restraint were reported as beneficial according to 73.6% of the inpatients interviewed. 3.Two thirds of the inpatients viewed the use of physical restraints as justified when an inpatient was dangerous. 4.Two thirds of the inpatients regarded physical restraint as the most aversive experience of their hospitalization. Our pilot study explored the subjective experience and attitudes of psychiatric inpatients towards the use of physical restraint. Inpatients viewed physical restraint as a practice that was sometimes justified but at the same time evoked negative subjective feelings. We conclude that listening to inpatients' perspectives can help caregivers to evaluate these measures.

摘要

当其他方法都失败时,在住院精神病病房中会使用身体约束作为控制激动患者的暴力行为并防止他们受到伤害的手段。值得注意的是,专业和社会话语中缺乏对这些约束措施的使用以及住院患者对这些措施的态度的讨论。因此,我们的研究试图通过采访住院患者来填补这一空白。旨在评估经历过身体约束的住院患者的主观体验和态度。通过使用结构化问卷对 40 名被诊断为精神障碍的住院患者进行了访谈。使用 SPSS 统计软件进行了描述性统计。1. 住院患者报告说身体约束会引起孤独感(77.5%)和失去自主性(82.5%)。2. 根据接受采访的 73.6%的住院患者的说法,在进行身体约束时,工作人员的探访被认为是有益的。3. 三分之二的住院患者认为当住院患者有危险时,使用身体约束是合理的。4. 三分之二的住院患者认为身体约束是住院期间最令人痛苦的经历。我们的试点研究探讨了住院精神病患者对身体约束使用的主观体验和态度。住院患者认为身体约束是一种有时合理但同时会引起负面主观感受的做法。我们的结论是,倾听住院患者的观点可以帮助护理人员评估这些措施。

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