A program to reduce use of physical restraint in psychiatric inpatient facilities.
A program to reduce use of physical restraint in psychiatric inpatient facilities.
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一项旨在减少精神科住院设施中身体约束使用的计划。
DOI：
10.1176/appi.ps.55.7.818
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发表时间：
2004
影响因子：
3.8
通讯作者：
Helena Laukkala
中科院分区：
文献类型：
--
作者：
Reetta Saarnio;A. Isola;Helena Laukkala
作者描述了一个项目，以减少使用身体约束的三个精神科单位的大学医院。该计划的一个组成部分是采访病人，以确定他们的压力触发因素和个人危机管理策略。第二个项目是对工作人员进行危机降级和非暴力干预方面的培训。在该方案实施后的头两个季度，身体约束率大幅下降，在实施后的一年剩余时间里，所有三个单位的身体约束率仍然很低。医院应考虑建立全面的员工培训，鼓励适应性的病人行为和非暴力的工作人员干预，以减少住院设施的儿童和成人的身体和机械限制。
The authors describe a program to reduce the use of physical restraint on three psychiatric units of a university hospital. One component of the program involved interviewing patients to determine their stress triggers and personal crisis management strategies. The second consisted of training staff members in crisis de-escalation and nonviolent intervention. During the first two quarters after implementation of the program, physical restraint rates declined significantly and remained low on all three units for the remainder of the year after implementation. Hospitals should consider instituting comprehensive staff training that encourages adaptive patient behaviors and nonviolent staff intervention to reduce the physical and mechanical restraint of children and adults in inpatient facilities.