与日本精神病科的身体限制相关的因素:一项回顾性研究
概括
在30.5%的精神病患者中使用了身体克制 (PR). 男性性别和某些诊断与PR使用有关,而年龄和残疾养老金状况影响了其持续时间.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医学社会学 医学社会学
背景情况:
- 身体克制 (PR) 是精神病治疗中一个有争议的干预措施.
- 了解影响PR使用和持续时间的因素对于改善患者安全和治疗至关重要.
- 在日本精神病学环境中,关于公关的研究有限.
研究的目的:
- 确定与使用身体限制 (PR) 相关的人口,临床和治疗相关的因素.
- 确定影响日本精神病急诊室PR持续时间的因素.
主要方法:
- 对1308例首次进入精神病急诊室的病例 (2014-2021) 的回顾性审查.
- 数据包括患者人口统计,诊断 (ICD-10) 和入院时的精神药物.
- 使用后勤和多重回归分析来确定与PR使用和持续时间相关的因素.
主要成果:
- 30.5%的患者 (n=399) 接受了PR. 男性的性别,在研究医院的治疗和特定的诊断 (F3,F4-9) 与PR使用有关.
- PR持续时间与较老的年龄组 (50-69岁,≥70岁),残疾养老金状态,F1和F4-9诊断以及特定的药物剂量有关.
- 较高的原等效剂量与较长的PR持续时间相关,而更多的情绪稳定剂与更短的持续时间有关.
结论:
- 确定特定的患者和治疗因素可以为减少PR使用和持续时间的策略提供信息.
- 这项研究为日本精神病学背景下PR利用提供了有价值的见解.
- 进一步的研究可以根据已识别的风险因素探索有针对性的干预措施.
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