A nationwide study of why and how acute adolescent psychiatric units use restraint
A nationwide study of why and how acute adolescent psychiatric units use restraint
复制标题
DOI：
10.1016/j.psychres.2016.01.067
复制
发表时间：
2016-03-30
影响因子：
11.3
通讯作者：
Hanssen-Bauer, Ketil
中科院分区：
文献类型：
--
作者：
Furre, Astrid;Sandvik, Leiv;Hanssen-Bauer, Ketil
本研究的目的是探讨急性青少年精神科病房的约束事件的类型，原因和持续时间。在一项回顾性设计中，我们纳入了2008-2010年挪威所有急性青少年精神病住院单位（N=16）所有约束事件的纸质协议数据和电子病历数据。约束包括机械和药物约束、隔离和身体关押，这不属于强制喂食的实施范围。所有4099名青少年中有6.5%的人被送进了急症室，他们经历了束缚。在2277次发作中，13.4%为机械束缚，1.6%为药物束缚，5.9%为隔离，78.7%为物理保持。每位患者的约束发作次数中位数为2次，范围为1-171次，47名患者（18%）经历了≥ 10次发作。使用克制的最常见原因是伤害他人。机械束缚发作的中位持续时间为3.5小时。隔离的中位持续时间为30分钟，物理保持的中位持续时间为10分钟。（C）2016爱思唯尔爱尔兰有限公司保留所有权利。
The purpose of this study was to examine the type, reason, and duration of restraint episodes in acute adolescent psychiatric units. In a retrospective design we included data from paper-based protocols on all episodes of restraint and data from electronic patient records during 2008-2010 in all acute adolescent psychiatric in-patient units in Norway (N=16). The episodes of restraint included mechanical and pharmacological restraint, seclusion and physical holding that was not part of the implementation of forced feeding. Six-and-a-half per cent of all 4099 adolescents admitted to the acute units experienced restraint. Of the 2277 episodes, 13.4% were mechanical restraint, 1.6% were pharmacological restraint, 5.9% were seclusion and 78.7% were physical holding. The median number of restraint episodes per patient was two, the range was 1-171 and 47 patients (18%) experienced >= 10 episodes. The most common reason for using restraint was harming others. The median duration of the mechanical restraint episodes was 3.5 h. The median duration of seclusion was 30 min and the median duration of physical holding was 10 min. (C) 2016 Elsevier Ireland Ltd. All rights reserved.