Schori Dominik, Jaeger Matthias, Elmer Timon, Jaeger Susanne, Mahlke Candelaria, Heumann Kolja, Theodoridou Anastasia, Zuaboni Gianfranco, Kozel Bernd, Rabenschlag Franziska
Directorate of Nursing, Therapies and Social Work, University Hospital of Psychiatry Zurich, Lenggstrasse 31, P.O. Box 363, 8032 Zurich, Switzerland.
Department of Psychiatry, Psychotherapy and Psychosomatics, Centre for Acute Psychiatric Disorders, University Hospital of Psychiatry Zurich, Lenggstrasse 31, P.O. Box 363, 8032 Zurich, Switzerland.
Arch Psychiatr Nurs. 2018 Oct;32(5):662-669. doi: 10.1016/j.apnu.2018.03.005. Epub 2018 Mar 13.
Treatment pressure restricts patients' voluntary and autonomous decisions. Yet interventions involving treatment pressure are widely used in mental health and psychosocial services. This cross-sectional study explored whether mental health professionals' knowledge on five types of treatment pressure (no coercion, persuasion or conviction, leverage, threat, and formal coercion) was associated with sociodemographic, professional and contextual factors. A more positive attitude towards interventions involving treatment pressure was associated with underrating the level of those interventions compared with a predefined default value. The treatment setting and professional group played a minor role in 'leverage' and 'formal coercion' types of treatment pressure, respectively.
治疗压力限制了患者的自主决定。然而，涉及治疗压力的干预措施在心理健康和心理社会服务中被广泛使用。这项横断面研究探讨了心理健康专业人员对五种治疗压力类型（无强制、劝说或说服、施加影响、威胁和正式强制）的了解是否与社会人口统计学、专业和背景因素相关。与预先定义的默认值相比，对涉及治疗压力的干预措施持更积极态度与低估这些干预措施的程度有关。治疗环境和专业群体分别在“施加影响”和“正式强制”类型的治疗压力中起次要作用。
