Physical Restraints in an Italian Psychiatric Ward: Clinical Reasons and Staff Organization Problems

被引：20

作者：

Di Lorenzo, Rosaria ^{[2
]}

Baraldi, Sara ^{[1
]}

Ferrara, Maria ^{[3
]}

Mimmi, Stefano ^{[4
]}

Rigatelli, Marco ^{[5
]}

机构：

[1] Univ Modena & Reggio Emilia, Dept Mental Hlth Modena, Dept Neurosci, Sect Psychiat, Modena, Italy

[2] NOCSAE, Dept Mental Hlth, Az USL Modena, Serv Psichiatr Diag & Cura 1, Modena, Italy

[3] Univ Modena & Reggio Emilia, Dept Mental Hlth Modena, Dept Neurosci, Sect Psychiat, Modena, Italy

[4] Dept Mental Hlth Az USL, Modena, Italy

[5] Dept Psychiat, Modena, Italy

来源：

PERSPECTIVES IN PSYCHIATRIC CARE | 2012年 / 48卷 / 02期

关键词：

Acute psychiatric ward; aggressiveness; physical restraint; staff organization; VIOLENT BEHAVIOR; COERCIVE MEASURES; SECLUSION; AGGRESSION; PATIENT; MANAGEMENT; EMERGENCY; INCIDENTS; ATTITUDES; DEATH;

D O I：

10.1111/j.1744-6163.2011.00308.x

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

PURPOSE: To analyze physical restraint use in an Italian acute psychiatric ward, where mechanical restraint by belt is highly discouraged but allowed. DESIGN AND METHODS: Data were retrospectively collected from medical and nursing charts, from January 1, 2005, to December 31, 2008. Physical restraint rate and relationships between restraints and selected variables were statistically analyzed. FINDINGS: Restraints were statistically significantly more frequent in compulsory or voluntary admissions of patients with an altered state of consciousness, at night, to control aggressive behavior, and in patients with "Schizophrenia and other Psychotic Disorders"during the first 72 hr of hospitalization. PRACTICAL IMPLICATIONS: Analysis of clinical and organizational factors conditioning restraints may limit its use.

引用

页码：95 / 107

页数：13

共 73 条

[1]

ARMITAGE P, 1996, STAT MED

[2] Achieving Restraint-Free on an Inpatient Behavioral Health Unit [J].

Barton, Sandra A. ;

Johnson, M. Rebecca ;

Price, Lydia V. .

JOURNAL OF PSYCHOSOCIAL NURSING AND MENTAL HEALTH SERVICES, 2009, 47 (01) :34-40

[3]

Bersani G, 2009, ANN I SUPER SANITA, V45, P27

[4] Violent Behavior in Acute Psychiatric Inpatient Facilities A National Survey in Italy [J].

Biancosino, Bruno ;

Delmonte, Sara ;

Grassi, Luigi ;

Santone, Giovanni ;

Preti, Antonio ;

Miglio, Rossella ;

de Girolamo, Giovanni .

JOURNAL OF NERVOUS AND MENTAL DISEASE, 2009, 197 (10) :772-782

[5] Prevention and management of aggression training and violent incidents on UK acute psychiatric wards [J].

Bowers, Len ;

Nijman, Henk ;

Allan, Teresa ;

Simpson, Alan ;

Warren, Jonathan ;

Turner, Lynny .

PSYCHIATRIC SERVICES, 2006, 57 (07) :1022-1026

[6] Physical and chemical restraint in the psychiatric emergency service [J].

Currier, GW ;

Allen, MH .

PSYCHIATRIC SERVICES, 2000, 51 (06) :717-719

[7] Fatal thromboembolic disease: A risk in physically restrained psychiatric patients [J].

Dickson, Brendan C. ;

Pollanen, Michael S. .

JOURNAL OF FORENSIC AND LEGAL MEDICINE, 2009, 16 (05) :284-286

[8] Structured team approach to the agitated patient in the emergency department [J].

Downes, Michael A. ;

Healy, Paul ;

Page, Colin B. ;

Bryant, Jennifer L. ;

Isbister, Geoffrey K. .

EMERGENCY MEDICINE AUSTRALASIA, 2009, 21 (03) :196-202

[9] Causes and management of patient aggression and violence: staff and patient perspectives [J].

Duxbury, J ;

Whittington, R .

JOURNAL OF ADVANCED NURSING, 2005, 50 (05) :469-478

[10] A review of physical restraint minimization in the acute and residential care settings [J].

Evans, D ;

Wood, J ;

Lambert, L .

JOURNAL OF ADVANCED NURSING, 2002, 40 (06) :616-625

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