Phillips P, Nasr S J
Am J Psychiatry. 1983 Feb;140(2):229-32. doi: 10.1176/ajp.140.2.229.
The authors studied the use of seclusion and restraint on an inpatient unit in a state psychiatric hospital. Of 69 randomly selected inpatients, 51% experienced seclusion or restraint at least once. More psychotic than nonpsychotic patients required seclusion or restraint. However, neither psychosis/nonpsychosis nor voluntary/involuntary admission status predicted the likelihood of violent threats or actions. Patients experiencing seclusion and restraint showed a nonsignificant trend toward longer mean length of stay in the hospital. The frequency of patient behavior leading to seclusion or restraint appeared to be directly related to the stimulation caused by the presence of many staff members and other patients.
作者们研究了在一家州立精神病医院的住院部使用隔离和约束措施的情况。在随机抽取的69名住院患者中，51%的患者至少经历过一次隔离或约束。与非精神病患者相比，精神病患者更需要隔离或约束。然而，无论是精神病/非精神病状态还是自愿/非自愿入院状态，都无法预测暴力威胁或行为的可能性。经历过隔离和约束的患者平均住院时间有延长的趋势，但差异不显著。导致隔离或约束的患者行为频率似乎与众多工作人员和其他患者在场所造成的刺激直接相关。
