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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.

DOI:10.4103/indianjpsychiatry.indianjpsychiatry_814_22
PMID:38419935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10898533/
Abstract

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.

摘要

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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本文引用的文献

1
Prevalence and risk factors for seclusion and restraint in old-age psychiatry inpatient units.老年精神病住院患者中约束和隔离的流行率及危险因素。
BMC Psychiatry. 2021 Feb 8;21(1):82. doi: 10.1186/s12888-021-03095-4.
2
Correlates of seclusion and restraint of patients admitted to psychiatric inpatient treatment via a German emergency room.通过德国急诊室收治的精神科住院患者的隔离和约束相关因素。
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Sudden Cardiac Death in Schizophrenia: A Review.精神分裂症患者的心脏性猝死:综述。
Heart Lung Circ. 2020 Oct;29(10):1427-1432. doi: 10.1016/j.hlc.2020.07.003. Epub 2020 Aug 3.
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Correlates of psychiatric staff's attitude toward coercion and their sociodemographic characteristics.精神科医护人员对强制手段的态度及其社会人口学特征的相关性。
Nurs Forum. 2020 Nov;55(4):603-610. doi: 10.1111/nuf.12476. Epub 2020 Jun 4.
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Increased Risk of Sudden Cardiac Death in Schizophrenia.精神分裂症患者心脏性猝死风险增加
Psychosomatics. 2020 Nov-Dec;61(6):864-866. doi: 10.1016/j.psym.2020.02.005. Epub 2020 Feb 24.
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Predictors of Seclusion and Restraint Following Injurious Assaults on Psychiatric Units.伤害性攻击后被隔离和约束的预测因素。
J Patient Saf. 2021 Dec 1;17(8):562-567. doi: 10.1097/PTS.0000000000000657.
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Seclusion, restraint, and involuntary medication in Finnish psychiatric care: a register study with root-level data.芬兰精神科护理中的隔离、约束和非自愿用药:一项基于根源层面数据的登记研究
Nord J Psychiatry. 2020 Aug;74(6):439-443. doi: 10.1080/08039488.2020.1733658. Epub 2020 Mar 3.
8
Preventing and reducing 'coercion' in mental health services: an international scoping review of English-language studies.预防和减少精神卫生服务中的“强制”现象:一项针对英文文献的国际范围综述。
Acta Psychiatr Scand. 2020 Jul;142(1):27-39. doi: 10.1111/acps.13152. Epub 2020 Feb 9.
9
Influence of nursing staff attitudes and characteristics on the use of coercive measures in acute mental health services-A systematic review.护理人员态度和特征对急性精神卫生服务中强制手段使用的影响——一项系统综述
J Psychiatr Ment Health Nurs. 2020 Aug;27(4):446-459. doi: 10.1111/jpm.12586. Epub 2020 Jan 14.
10
Being in a Seclusion Room: The Forensic Psychiatric Inpatients' Perspective.被隔离于封闭病房之中:精神科住院患者的视角。
J Psychiatr Ment Health Nurs. 2020 Jun;27(3):272-280. doi: 10.1111/jpm.12576. Epub 2019 Dec 23.