Ye Junrong, Xiao Aixiang, Yu Lin, Wei Hongmei, Wang Chen, Luo Tianyun
Department of Nursing Administration, Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China.
Department of Traditional Chinese Medicine, Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China.
Int J Nurs Sci. 2017 Dec 7;5(1):68-71. doi: 10.1016/j.ijnss.2017.12.001. eCollection 2018 Jan 10.
Given that physical restraints cause adverse effects to patients and nurses, their wide and frequent use has resulted in various clinical and ethical controversies in mental health services. The rate of physical restraints is significantly higher in China than in other countries. Some western and domestic media blamed relevant institutions for compromising the basic rights of psychiatric patients. Therefore, this study aims to collect and synthesize the relevant ethical evidence and to provide corresponding guidance for the nursing practice based on the current situation of the mainland of China. This study synthesized the ethical issue according to the ethical principle of autonomy, justice, beneficence, and non-maleficence. Given the current situation where the nursing workforce is limited and the mental health service is under-developed in China, applying physical restraints in the psychiatric inpatients to guarantee the safety of patients and nurses is crucial. In regard to respect the basic rights of psychiatric patients, it is recommended to protect the their autonomy, and eliminate the adverse effects of physical restraint. This goal would be achieved by ensuring the informed consent, providing humane care, and regulating the implementation of physical restraints.
鉴于身体约束会给患者和护士带来不良影响，其广泛且频繁的使用在精神卫生服务领域引发了各种临床和伦理争议。中国的身体约束率显著高于其他国家。一些西方和国内媒体指责相关机构侵犯了精神病患者的基本权利。因此，本研究旨在收集和综合相关伦理证据，并根据中国大陆的现状为护理实践提供相应指导。本研究根据自主、公正、行善和不伤害的伦理原则对伦理问题进行了综合。鉴于中国目前护理人员有限且精神卫生服务不发达的现状，对精神科住院患者使用身体约束以保障患者和护士的安全至关重要。在尊重精神病患者基本权利方面，建议保护他们的自主权，并消除身体约束的不良影响。这一目标可通过确保知情同意、提供人文关怀以及规范身体约束的实施来实现。
