关于预防胁迫和暴力的指导方针的实施:随机对照PreVCo研究的基线数据
Sophie Hirsch1,2, Johanna Baumgardt3,4, Andreas Bechdolf3,5
1Department for Psychiatry and Psychotherapy I, Faculty of Medicine, Ulm University, Ulm, Germany.
Frontiers in psychiatry
|May 30, 2023
概括
这项关于精神病房的研究发现,实施预防胁迫指南并没有在基线显著减少强制措施. 强迫率差异很大,与非自愿入院和患者的攻击性相关.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健管理的管理
- 临床心理学 临床心理学
背景情况:
- 精神病治疗中的强制措施在各医院之间有很大差异.
- 之前的研究表明,强迫研究中的霍桑效应很大.
- 有效的基线数据收集对于比较病房和控制观察者偏见至关重要.
研究的目的:
- 评估指南的结构化实施是否减少了精神病房的强制措施.
- 建立一个随机对照试验的基线数据,以预防胁迫.
- 通过使用PreVCo评级工具评估指南实施的忠实性.
主要方法:
- 一个随机对照试验,涉及55个德国精神病房病房.
- 病房被配对并分配到干预或等待列表条件.
- 收集的数据包括入院,床位占用,非自愿病例,诊断,强制措施,袭击和人员配置水平.
主要成果:
- 在强制措施或非自愿入院的干预和等待名单组之间没有发现显著的基线差异.
- 不自愿入院的患者的百分比与每月强制措施相关 (斯皮尔曼的Rho=0.56,p<0.01).
- 在准则忠实度方面,PreVCo评级工具的得分从28到106.6不等.
结论:
- 在精神卫生机构的强迫率是高度可变的,并与非自愿入院和侵略性患者相关.
- 研究样本反映了德国精神卫生保健实践的多样性.
- 需要进一步的研究来理解和减少强制性做法.
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