Dumont F, Schittecatte M, Deleu G, Wilmotte J
Hôpital Vincent Van Gogh, Marchienne-au-Pont.
Acta Psychiatr Belg. 1995 Jul-Oct;95(4-5):246-59.
The application of the 06-26-1990 law for the protection of mentally ill persons has confronted the psychiatrists working in general psychiatry wards with the problem of keeping up patients hospitalized against their own will and following a judiciary authority decision. Having to deal with this problem, the authors first reviewed the literature about the use of restraint techniques in psychiatry. They observed that these universally used techniques were strikingly denied in the psychiatric literature so that their accurate application was made difficult because of the lack of information about their indications, contra-indications and application modalities. Afterwards, the authors have compared the different restraint techniques in a retrospective study over a one year period among voluntarily hospitalized patients and patients admitted against their wil in application of the 06-26-1990 law. They reported that the application of the law undoubtedly increased the number of restraint but did not modify either the population characteristics of the treatment modalities. These results have to be further confirmed in a prospective study.
1990年6月26日颁布的保护精神病患者的法律实施后,在普通精神科病房工作的精神科医生面临着违背患者意愿将其留院治疗并执行司法当局决定的问题。面对这一问题,作者首先回顾了有关精神科约束技术使用的文献。他们发现,这些普遍使用的技术在精神科文献中遭到了明显的否定,以至于由于缺乏关于其适应症、禁忌症和应用方式的信息,难以准确应用。之后,作者在一项为期一年的回顾性研究中,对自愿住院患者和根据1990年6月26日法律强制入院的患者的不同约束技术进行了比较。他们报告称,该法律的实施无疑增加了约束的次数,但并未改变接受治疗方式的人群特征。这些结果有待前瞻性研究进一步证实。