无约束政策是否与住院精神病医疗单位对医疗保健专业人员的攻击性增加有关? 在意大利进行了一项16年的回顾性观察研究
Marco Colizzi1,2, Carla Comacchio1, Marco Garzitto1
1Unit of Psychiatry and Eating Disorders, Department of Medicine (DMED), University of Udine, 33100 Udine, Italy.
Nursing reports (Pavia, Italy)
|December 27, 2024
概括
在精神病医疗单位实施无约束政策并没有长期增加与侵略有关的工作事故. 员工,特别是医疗保健助理和护士,需要在政策过渡期间得到支持,以减轻临时风险.
科学领域:
- 精神病学是一个精神病学.
- 职业健康 职业健康 职业健康
- 医疗保健管理的管理
背景情况:
- 与攻击性相关的职业事故在住院精神病医疗机构中构成重大风险.
- 以前的政策通常依赖于身体限制,引发了伦理和安全方面的担忧.
- 实施替代的,不那么严格的方法是精神病治疗中越来越感兴趣的领域.
研究的目的:
- 评估无约束政策对意大利一家住院精神病医院的侵略性工作事故的影响.
- 分析政策实施前,期间和之后的事故趋势.
- 确定与较高事故率相关的特定员工角色和班次模式.
主要方法:
- 在16年期间 (2007-2022年) 进行了与侵略有关的工作事故的回顾性分析.
- 收集了关于事故类型,受影响的员工,轮班时间和政策实施阶段的数据.
- 使用统计分析,包括千二测试,来评估事故频率的变化.
主要成果:
- 总共记录了113起与侵略有关的事故,其中身体攻击是最常见的 (81.4%).
- 医疗保健助理和精神病护士是受伤最频繁的员工.
- 事故在政策过渡阶段达到顶峰,但在随后的几年里大幅下降.
- 事故的比例更高的是发生在早上班 (49.6%).
结论:
- 长期来看,在精神卫生保健中采用无约束政策与与侵略性相关的工作事故的增加无关.
- 没有限制政策的过渡阶段可能涉及临时增加事故,需要有针对性的支持.
- 在政策变化期间,加强支持系统对于最大限度地降低医疗保健人员的风险至关重要.
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