Schwab P J, Lahmeyer C B
J Clin Psychiatry. 1979 May;40(5):228-31.
Seclusion was used in the management of 36.6% of the patients on a general hospital psychiatric unit during a 6 month prospective study. It was initiated most frequently to decrease stimulation for agitated patients with poor impulse control, between 10 pm and 2 am, and when the unit census was high. Patients who required seclusion were significantly younger, hospitalized longer, more often manic and received pharmacotherapy more frequently. No correlation was found between nursing staff age and psychiatric experience and the frequency that they initiated seclusion. The value of seclusion during a medication-free diagnostic assessment period is discussed.
在一项为期6个月的前瞻性研究中，综合医院精神科病房36.6%的患者在治疗过程中使用了隔离措施。隔离措施最常被用于在晚上10点至凌晨2点之间、病房患者人数较多时，减少对冲动控制能力差且烦躁不安的患者的刺激。需要隔离的患者明显更年轻，住院时间更长，更多为躁狂症患者，且更频繁地接受药物治疗。未发现护理人员的年龄和精神科工作经验与他们启动隔离措施的频率之间存在关联。本文讨论了在无药物诊断评估期进行隔离的价值。
