Li Sijue, Ye Junrong, Yuan Lexin, Wang Haoyun, Wang Ting, Wu Chenxin, Xiao Aixiang
Nursing Department, Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China.
Geriatric Psychiatry Department, Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China.
Int J Ment Health Nurs. 2023 Dec;32(6):1773-1778. doi: 10.1111/inm.13205. Epub 2023 Aug 23.
The use of physical restraint had caused a series of unexpected impacts on patients, particularly psychological trauma. This qualitative study aimed to identify perspectives on physical restraint among patients with mental health conditions and to seek effective interventions targeting the psychological trauma which is caused by physical restraint. A semi-structured interview was conducted in a public psychiatric hospital in China to explore perspectives on physical restraint among 26 patients who had undergone or witnessed physical restraint. The interview was conducted by experienced and qualified interviewers with mental health service backgrounds. The interviews were recorded and transcribed into words, and then preliminary themes were extracted and coded, finally thematic analysis was used to identify focused themes. Five themes were extracted: these were as follows: (1) The negative effects of physical restraint on patients; (2) The impairment of the relationship between nurse and patient due to physical restraint; (3) The decrease in patients' treatment adherence caused by physical restraint; (4) The positive outcomes of physical restraint; (5) The expectations of patients for improving the quality of nursing care. Conclusively, the use of physical restraint had critical impacts on patients, including psychological trauma, destruction of the nurse-patient relationship, and decreased adherence of treatment. These negative effects could impede clinical work.
使用身体约束对患者产生了一系列意想不到的影响，尤其是心理创伤。这项定性研究旨在确定精神健康状况患者对身体约束的看法，并寻求针对身体约束所导致心理创伤的有效干预措施。在中国一家公立精神病医院进行了一项半结构式访谈，以探讨26名经历过或目睹过身体约束的患者对身体约束的看法。访谈由具有精神卫生服务背景的经验丰富且资质合格的访谈者进行。访谈进行了录音并转录成文字，然后提取初步主题并进行编码，最后采用主题分析法确定重点主题。提取了五个主题：如下所示：（1）身体约束对患者的负面影响；（2）身体约束导致护士与患者关系受损；（3）身体约束导致患者治疗依从性下降；（4）身体约束的积极结果；（5）患者对改善护理质量的期望。总之，使用身体约束对患者有重大影响，包括心理创伤、医患关系的破坏以及治疗依从性的降低。这些负面影响可能会阻碍临床工作。
