Høyer G, Drange H
Institutt for samfunnsmedisin, Universitetet i Tromsø.
Tidsskr Nor Laegeforen. 1994 Feb 20;114(5):585-8.
This paper presents the second screening concerning the use of coercive measures in Norwegian mental health institutions. The use of mechanical restraint, seclusion and forced medication was recorded during the first six months of 1989 and of 1990. We found no change in the use of coercive measures from 1989 to 1990, nor did we find any differences when the results of this screening was compared with those of the first screening carried out in 1986-88. Mechanical restraint was the most commonly used coercive measure, and a total of 9402 hours of such constraint was recorded the first six months of 1990. In many cases, a substantial part of the total amount of mechanical restraint in the different institutions at different times referred to a single patient, which created large variations in the use of coercion. No correlation was found between the use of coercion on one hand and size of ward and staff ratio on the other; factors that otherwise are believed to be of importance for use of coercion.
本文介绍了挪威精神卫生机构中关于强制措施使用情况的第二次筛查。记录了1989年和1990年上半年机械约束、隔离和强制用药的使用情况。我们发现1989年至1990年期间强制措施的使用没有变化，将此次筛查结果与1986 - 1988年进行的首次筛查结果相比较时，也未发现任何差异。机械约束是最常用的强制措施，1990年上半年共记录了9402小时的此类约束。在许多情况下，不同机构在不同时间的机械约束总量的很大一部分涉及到单个患者，这导致了强制措施使用上的巨大差异。一方面，强制措施的使用与另一方面的病房规模和工作人员比例之间未发现相关性；而这些因素通常被认为对强制措施的使用很重要。
