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

[61] Sleep and circadian rhythm disruption in psychiatric and neurodegenerative disease PERSPECTIVES [J].

Wulff, Katharina ;

Gatti, Silvia ;

Wettstein, Joseph G. ;

Foster, Russell G. .

NATURE REVIEWS NEUROSCIENCE, 2010, 11 (08) :589-+

[62] Staff's attitudes to the use of restraint and seclusion in a Norwegian university psychiatric hospital [J].

Wynn, R .

NORDIC JOURNAL OF PSYCHIATRY, 2003, 57 (06) :453-459

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