Goulet Marie-Hélène, Cassivi Christine, Hupé Catherine, Jean-Baptiste Francelyne, Dumais Alexandre
Nursing Faculty, Université de Montréal, Montréal, QC, Canada.
Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montréal, QC, Canada.
Front Psychiatry. 2024 Oct 4;15:1428599. doi: 10.3389/fpsyt.2024.1428599. eCollection 2024.
COVID-19 pandemic-related restrictions have significantly changed the environment and the delivery of direct care in all health services, including psychiatric hospitals. The aim of the study is two-fold: 1) to retrospectively assess the incidence of seclusion and mechanical restraint in a Quebec mental health hospital over 4 years; and 2) to assess the impact of the COVID-19 pandemic on their incidence.
We conducted a retrospective study based on medical records from a Quebec mental health hospital collected (a) from April 2016 to March 2019), (b) from April 2019 to March 2020 (pre-COVID onset), and (c) from April 2020 to March 2021 (post-COVID onset). Descriptive statistics, chi square tests, Mann-Kendall test and Welch's t-test were performed.
Following several years during which the use of restrictive measures remained stable, we have noted a significant increase within the first year following the COVID-19 pandemic. This increase can be seen in the use of both seclusion and restraints, which have risen 205% and 170% respectively.
There are a multitude of factors associated with the incidence of seclusion and restraint that have the potential to be triggered during emergencies and global crisis situations, impacting in turn the rights of an already vulnerable population.
与新冠疫情相关的限制措施显著改变了包括精神病医院在内的所有医疗服务的环境和直接护理的提供方式。本研究的目的有两个：1）回顾性评估魁北克一家心理健康医院4年期间的隔离和机械约束发生率；2）评估新冠疫情对其发生率的影响。
我们基于从魁北克一家心理健康医院收集的医疗记录进行了一项回顾性研究，这些记录收集于（a）2016年4月至2019年3月，（b）2019年4月至2020年3月（新冠疫情爆发前），以及（c）2020年4月至2021年3月（新冠疫情爆发后）。进行了描述性统计、卡方检验、曼-肯德尔检验和韦尔奇t检验。
在限制性措施的使用保持数年稳定之后，我们注意到在新冠疫情爆发后的第一年有显著增加。这种增加在隔离和约束的使用中都可见，分别上升了205%和170%。
与隔离和约束发生率相关的因素众多，在紧急情况和全球危机形势下有可能被触发，进而影响到本就脆弱人群的权利。
