以色列精神病院强制治疗时长的风险因素：与工作人员的关系。
Risk factors for coercion length at psychiatric hospitals in Israel: Relationship with staff.
作者信息
Miodownik Chanoch, Friger Michael D, Teitelbaum Alexander, Demchuk Natalya, Zhuk Alexandra, Agababa Tsipora, Sokolik Shmuel, Lerner Paul P, Calfon Nitsa, Lerner Vladimir
机构信息
Be'er Sheva Mental Health Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
出版信息
Indian J Psychiatry. 2024 Jan;66(1):36-42. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_814_22. Epub 2024 Jan 25.
BACKGROUND
Coercive interventions continue to be applied frequently in psychiatric care when patients are at imminent risk of harming themselves and/or others.
AIM
The purpose of this study was to demonstrate the relationship between the length of coercion and a variety of factors, including the sociodemographic background of patients, their diagnoses and the characteristics of hospital staff.
METHODS
This is a one-year cross-sectional retrospective study, including records of 298 patients who underwent restraint and/or seclusion interventions in male acute, closed wards in two psychiatric hospitals in Israel.
RESULTS
A higher proportion of academic nurses to nonacademic nurses on duty leads to a shorter coercion time ( < 0.000). The number of male staff on duty, without any relation to their level of education, also leads to the shortening of the coercion time.
CONCLUSION
The presence of registered, academic female nurses, male staff on duty and the administration of medication before coercive measures can reduce the length of restriction.
背景
当患者有立即伤害自己和/或他人的风险时，强制干预措施在精神科护理中仍经常被采用。
目的
本研究的目的是证明强制时间长度与多种因素之间的关系，这些因素包括患者的社会人口学背景、诊断以及医院工作人员的特征。
方法
这是一项为期一年的横断面回顾性研究，纳入了以色列两家精神病医院男性急性封闭病房中接受约束和/或隔离干预的298例患者的记录。
结果
值班的学术护士与非学术护士比例较高会导致强制时间缩短（<0.000）。值班男性工作人员的数量，与他们的教育水平无关，也会导致强制时间缩短。
结论
注册的学术女性护士、值班男性工作人员的存在以及在采取强制措施前给药可减少限制时间。
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