Covert A B, Rodrigues T, Solomon K
J Am Geriatr Soc. 1977 Feb;25(2):85-9. doi: 10.1111/j.1532-5415.1977.tb00236.x.
The use of mechanical and chemical restraints in nursing homes is a common practice, fraught with potential abuse. The patient's freedom of movement and right to an adequate medical and psychiatric evaluation are of the utmost importance. Restraints should be used only as a last resort and should not be a substitute for inadequate staffing or incomplete medical appraisal. Guidelines are offered that maximize the patients' freedom, maintain medical responsibility, and assure safety. Alternatives to the use of restraints are discussed.
在养老院使用机械和化学约束是一种常见做法，但充满了潜在的滥用风险。患者的行动自由以及获得充分医疗和精神评估的权利至关重要。约束措施应仅作为最后手段使用，且不应替代人员配备不足或医疗评估不完整的情况。本文提供了一些指导方针，以最大限度地保障患者自由、维持医疗责任并确保安全。同时还讨论了约束措施的替代方法。
