Department of Psychology, Rowan University, 201 Mullica Hill Road, Robinson Hall Suite 117, Glassboro, NJ, 08028, USA.
J Autism Dev Disord. 2022 Oct;52(10):4412-4425. doi: 10.1007/s10803-021-05327-8. Epub 2021 Oct 16.
Hospitals, with many features that can evoke severe behavior in patients with autism spectrum disorder (ASD), often use restraint as a behavior management strategy. Prior research on restraint in patients with ASD has primarily focused on children or specific departments. Twenty-five physicians and medical trainees from an urban teaching hospital participated in discussions about experiences managing severe behavior in patients with ASD across the lifespan. Twenty themes emerged from thematic analysis of participant transcripts. The five most salient themes included: lack of procedural knowledge with restraint implemented by other hospital professionals; alternative strategies to manage severe behavior; negative perceptions of restraint; helpful role of caregivers; and limited experience treating patients with ASD, and critical need for training in function-based management.
医院有许多可能引发自闭症谱系障碍（ASD）患者严重行为的特征，因此常将约束作为一种行为管理策略。先前关于 ASD 患者约束的研究主要集中在儿童或特定科室。25 名来自城市教学医院的医生和医学生参与了关于跨生命周期管理 ASD 患者严重行为的讨论。对参与者记录的主题分析产生了 20 个主题。最突出的五个主题包括：缺乏由其他医院专业人员实施约束的程序知识；管理严重行为的替代策略；对约束的负面看法；照顾者的有益作用；以及治疗 ASD 患者的经验有限，功能管理培训的需求迫切。
