Aguilera-Serrano Carlos, Goodman-Casanova Jessica Marian, Bordallo-Aragón Antonio, García-Sánchez Juan Antonio, Mayoral-Cleries Fermín, Guzmán-Parra José
Unidad de Gestión Clínica de Salud Mental, Hospital Regional Universitario de Málaga, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina (IBIMA Plataforma Bionand), 29009 Málaga, Spain.
COST Action CA19133-Fostering and Strengthening Approaches to Reducing Coercion in European Mental Health Services (FOSTREN), 1050 Brussels, Belgium.
Healthcare (Basel). 2023 Jul 1;11(13):1909. doi: 10.3390/healthcare11131909.
The aim of this study was to analyze the attitudes of professionals in Mental Health Services throughout Spain who are directly or indirectly involved in the use of mechanical restraint and the barriers perceived to reduce its use. The study involved an online anonymous survey using Google Forms completed by Spanish mental health professionals working with service users; the survey assessed their involvement in and general attitudes and beliefs towards mechanical restraint. The survey was completed by 225 participants. Only 13.30% of the participants considered that mechanical restraint use was never necessary to guarantee the safety of users/staff in dangerous situations. Poor staff training (38.0%) and a lack of resources/staff (34.7%) were the most frequent barriers identified for the reduction of mechanical restraint. In the multivariate analysis, participation in learning programs to prevent the use of mechanical restraint was associated with lower acceptance of the use of mechanical restraint, but the result was barely significant ( = 0.050). A high percentage of mental health staff still consider mechanical restraint use necessary for safety reasons. According to the results, the participants perceived that more staff and resources and better training could reduce the use of mechanical restraint in Mental Health Hospitalization Services.
本研究的目的是分析西班牙各地心理健康服务领域中直接或间接参与使用机械约束的专业人员的态度，以及他们所认为的减少机械约束使用的障碍。该研究采用在线匿名调查，通过谷歌表单由与服务使用者合作的西班牙心理健康专业人员完成；该调查评估了他们对机械约束的参与程度以及总体态度和信念。共有225名参与者完成了调查。只有13.30%的参与者认为在危险情况下使用机械约束对于保障使用者/工作人员的安全而言绝非必要。员工培训不足（38.0%）和资源/人员短缺（34.7%）是所确定的减少机械约束使用的最常见障碍。在多变量分析中，参与预防使用机械约束的学习项目与较低的机械约束使用接受度相关，但结果勉强显著（P = 0.050）。相当比例的心理健康工作人员仍认为出于安全原因有必要使用机械约束。根据研究结果，参与者认为增加人员和资源以及提供更好的培训可以减少心理健康住院服务中机械约束的使用。
