Avdeling for paramedisin, Institutt for sykepleie og helsefremmende arbeid, OsloMet.
SIFER - Nasjonalt kompetansenettverk for sikkerhets-, fengsels- og rettspsykiatri, Oslo universitetssykehus, og, Avdeling for paramedisin, Institutt for sykepleie og helsefremmende arbeid, OsloMet.
Tidsskr Nor Laegeforen. 2022 Oct 10;142(14). doi: 10.4045/tidsskr.22.0086. Print 2022 Oct 11.
Patients who resist medical assistance can undo the safety straps on the ambulance stretcher. Ambulance personnel have been known to make use of blankets, bandages and Velcro straps to restrain patients in transit. This study aims to establish how often this type of coercion is used.
In 2021, approximately 400 ambulance service personnel in the county of Innlandet were invited by email to take part in an online survey about the use of coercion vis-à-vis patients who resist medical assistance.
We received 85 responses, and 62 respondents (72.9 %) stated that they had used coercion. Of these, 38 (44.7 %) had restrained the arms/legs of patients using blankets, bandages or Velcro straps in order to keep them safe while in transit. A total of 36 respondents (42.4 %) had observed other personnel travelling in an ambulance without a fastened seatbelt in order to maintain patient safety during transit.
The results clearly show that ambulance personnel regularly use coercion when patients who resist their help are transported by ambulance. There is a need to discuss how such ambulance services can be provided in a safe, secure and caring way.
抗拒医疗援助的患者可能会解开救护车上的安全带。众所周知，救护人员会使用毯子、绷带和魔术贴带在转运过程中约束患者。本研究旨在确定这种强制手段的使用频率。
2021 年，约有 400 名 Innlandet 县的救护人员通过电子邮件受邀参加了一项关于对拒绝医疗援助的患者使用强制手段的在线调查。
我们共收到 85 份回复，其中 62 名（72.9%）受访者表示曾使用过强制手段。其中 38 名（44.7%）使用毯子、绷带或魔术贴带约束患者的手臂/腿部，以在转运过程中保证他们的安全。共有 36 名（42.4%）受访者观察到其他人员在救护车中未系安全带，以在转运过程中保持患者安全。
研究结果清楚地表明，当拒绝帮助的患者通过救护车转运时，救护人员经常使用强制手段。需要讨论如何以安全、有保障和关爱的方式提供此类救护车服务。
