Measham T J
Department of Psychiatry, McGill University, Montreal, Quebec.
Can J Psychiatry. 1995 Aug;40(6):330-6.
To examine how health care professionals attempt to manage acutely aggressive behaviours exhibited by children and adolescents in various hospital settings.
A review of the literature examining management techniques on child psychiatric and pediatric wards is presented. Techniques reviewed include pharmacotherapy, psychotherapy, seclusion, restraint and the use of pro re nata (prn) medications.
Effects of various management techniques are presented, where available.
There is little evidence for the effectiveness of most presently used acute management techniques in containing aggressive child behaviours over the long term. Suggestions for improved evaluation of management techniques are made.
探讨医疗保健专业人员如何尝试管理儿童和青少年在各种医院环境中表现出的急性攻击性行为。
对有关儿童精神科和儿科病房管理技术的文献进行综述。所综述的技术包括药物治疗、心理治疗、隔离、约束以及按需使用药物。
在可行的情况下，介绍了各种管理技术的效果。
目前大多数用于控制儿童攻击性行为的急性管理技术，长期来看，几乎没有证据表明其有效。针对改进管理技术评估提出了建议。
