Carpenter M D, Hannon V R, McCleery G, Wanderling J A
Nathan S. Kline Institute for Psychiatric Research, Orangeburg, New York 10962.
Hosp Community Psychiatry. 1988 Apr;39(4):418-23. doi: 10.1176/ps.39.4.418.
Data from a survey of seclusion and restraint practices in New York state hospitals were analyzed to determine if they differed by hospital location. The study included 19 hospitals--five in New York City, four in New York City suburbs, three in large towns, and seven in small towns. Overall, New York City and large-town hospitals had the highest rates of seclusion and restraint, but analysis by age group showed that New York City had the lowest rate for patients under age 35, who constituted the majority of patients who were secluded or restrained, and large towns had the highest rate. Compared with suburban and small-town hospitals, city and large-town hospitals used seclusion more often than restraint and had a higher ward census and a lower-staff patient ratio. In all groups males and blacks were overrepresented compared with the hospital population. The authors believe clarification of regional variations in assaultive behavior is important for treatment and system planning.
对纽约州医院隔离和约束措施的一项调查数据进行了分析，以确定这些措施是否因医院所在位置而异。该研究涵盖了19家医院——5家位于纽约市，4家位于纽约市郊区，3家位于大城镇，7家位于小城镇。总体而言，纽约市和大城镇医院的隔离和约束率最高，但按年龄组分析显示，纽约市35岁以下患者的比率最低，而35岁以下患者占被隔离或约束患者的大多数，大城镇的比率最高。与郊区和小城镇医院相比，城市和大城镇医院更常使用隔离而非约束，且病房普查人数更多，医患比例更低。在所有组中，与医院总体人群相比，男性和黑人的占比过高。作者认为，明确攻击性行为的地区差异对于治疗和系统规划很重要。
