Czernin Klara, Bermpohl Felix, Heinz Andreas, Wullschleger Alexandre, Mahler Lieselotte
Universitätsklinik für Kinder- und Jugendpsychiatrie, Medizinische Universität Wien.
Klinik für Psychiatrie und Psychotherapie, Campus Mitte (PUK Charité im SHK), Charité - Universitätsmedizin Berlin.
Psychiatr Prax. 2020 Jul;47(5):242-248. doi: 10.1055/a-1116-0720. Epub 2020 Mar 20.
The aim of the present study was to analyze the effects of the implementation of the Recovery-orientated psychiatric care concept "Weddinger Modell" on mechanical coercive measures. A retrospective case-control study design was implemented, investigating 375 patients treated in in-patient care on three acute psychiatric wards who were selected at four different reporting dates. The study compared two groups of patients, one treated according to the Weddinger Modell (intervention group; n = 122) and the other one conventionally (control group; n = 235). The results show a significant reduction of the maximum frequency of restraint events as well as the duration of seclusion incidents in the group of patients treated according to the Weddinger Modell. In conclusion, the results indicate that the implementation of the Weddinger Modell and similar treatment concepts in inpatient psychiatric setting can help reduce coercion.
本研究的目的是分析实施以康复为导向的精神科护理理念“韦丁格模式”对机械强制措施的影响。采用回顾性病例对照研究设计，对在三个急性精神科病房接受住院治疗的375名患者进行调查，这些患者在四个不同的报告日期被选中。该研究比较了两组患者，一组按照韦丁格模式进行治疗（干预组；n = 122），另一组采用传统治疗方法（对照组；n = 235）。结果显示，在按照韦丁格模式治疗的患者组中，约束事件的最高频率以及隔离事件的持续时间显著减少。总之，结果表明，在住院精神科环境中实施韦丁格模式及类似的治疗理念有助于减少强制行为。
