在以色列精神病医院强迫时间的危险因素:与工作人员的关系
Chanoch Miodownik1, Michael D Friger2, Alexander Teitelbaum3
1Be'er Sheva Mental Health Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Indian journal of psychiatry
|February 29, 2024
概括
精神科的强制干预,包括克制和隔离,可以缩短. 较高的学术护士比例和男性职务人员的存在大大减少了这些限制性措施的持续时间.
科学领域:
- 精神病学是一个精神病学.
- 心理健康护理 心理健康护理
- 临床护理 临床护理
背景情况:
- 强制干预经常用于精神病学环境中,对于具有迫在眉的危害风险的患者.
- 了解影响这些干预时间的因素对于改善患者护理和安全至关重要.
研究的目的:
- 研究强制干预的持续时间与患者社会人口统计,诊断和医院工作人员特征之间的关系.
- 确定可能减少精神病院拘禁和隔离时间的关键因素.
主要方法:
- 一个为期一年的横截面回顾性研究.
- 包括来自两个以色列医院的男性急性,封闭精神病房的298名患者记录.
- 限制和/或隔离干预措施的分析.
主要成果:
- 学术护士与非学术护士的比例较高与强迫时间显著缩短有关 (P < 0.000).
- 不管其教育程度如何,值班的男性工作人员数量增加也与强制持续时间的缩短有关.
- 干预前的药物管理与更短的限制期有关.
结论:
- 注册的,学术女性护士和男性工作人员的存在可以减少强制措施的持续时间.
- 在强制干预之前服用药物是减少限制持续时间的有效策略.
- 员工的特点,特别是学术护士的比例和男性员工的存在,在管理强制干预方面发挥着重要作用.
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