Mental Health Center, St Hans Hospital, Copenhagen University Hospital, Roskilde, Denmark.
Mental Health Center Copenhagen, Copenhagen University Hospital, Hellerup, Denmark.
Perspect Psychiatr Care. 2020 Jan;56(1):20-27. doi: 10.1111/ppc.12367. Epub 2019 Mar 3.
This study examined the prevalence, predictors, and patterns of mechanical restraint in an inpatient dual diagnosis population.
Data were longitudinally collected from patients affected by severe mental illness and comorbid substance abuse that were hospitalized in three large wards from 2006 to 2012.
In a sample of 1698 hospitalizations, the use of mechanical restraint ranged between 1% and 4% per year. The diagnosis of schizophrenia (odds ratio [OR], 2.64; 95% confidence interval [CI], 1.29-5.40), the use of stimulant substances (OR, 5.68; 95% CI, 2.78-11.59) and male sex (OR, 3.22; 95% CI, 1.12-9.27) were associated with an increased risk of being exposed to mechanical restraint.
Specialized interventions targeting people at risk of mechanical restraint may further reduce the incidence of restraint and improve treatment outcomes.
本研究调查了住院双重诊断人群中机械约束的流行率、预测因素和模式。
数据是从 2006 年至 2012 年间在三家大型病房住院的患有严重精神疾病和合并物质滥用的患者中纵向收集的。
在 1698 例住院患者中，每年使用机械约束的比例在 1%至 4%之间。精神分裂症的诊断（优势比[OR]，2.64；95%置信区间[CI]，1.29-5.40）、兴奋剂物质的使用（OR，5.68；95% CI，2.78-11.59）和男性（OR，3.22；95% CI，1.12-9.27）与接触机械约束的风险增加相关。
针对有机械约束风险的人的专门干预措施可能会进一步降低约束的发生率并改善治疗结果。
