使用约束措施的替代方法：通向人文关怀之路。
Alternatives to use of restraint: A path toward humanistic care.
作者信息
Raveesh Bevinahalli Nanjegowda, Gowda Guru S, Gowda Mahesh
机构信息
Department of Psychiatry, Mysore Medical College and Research Institute, Mysore, Karnataka, India.
Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India.
出版信息
Indian J Psychiatry. 2019 Apr;61(Suppl 4):S693-S697. doi: 10.4103/psychiatry.IndianJPsychiatry_104_19.
Abstract
Restraint and seclusion are measures to restrict the movement of a person. The predominant reason cited for the use of restraint in mental health settings is the safety of the staff and the patient in times of aggression and to control problem behaviors. However, there have been significant issues in terms of ethics, rights of the patient, and the harmful effects of restraint. Recently, there has been a move in Western countries to decrease its use by incorporating alternative methods and approaches. In India, the Mental Healthcare Act of 2017 advocates the use of least restrictive measures and alternatives to restraint in providing care and treatment for person with mental illness. In this context, approach to restraints is all the more relevant. This article looks to overview the types of restraints, complications of restraints, and the alternatives to restraint in diverse settings.
摘要
约束和隔离是限制人员行动的措施。在心理健康环境中使用约束的主要原因是在攻击行为发生时保障工作人员和患者的安全，并控制问题行为。然而，在伦理、患者权利以及约束的有害影响方面存在重大问题。最近，西方国家已采取行动，通过采用替代方法和途径来减少其使用。在印度，2017年的《精神保健法》提倡在为精神疾病患者提供护理和治疗时使用限制最小的措施及替代约束的方法。在这种背景下，约束措施就显得尤为重要。本文旨在概述约束的类型、约束的并发症以及在不同环境中替代约束的方法。
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