心理运动兴奋约束方法的研究:系统性审查
Shengnan Zhu1, Jing Liu2, Aili Cao2
1Department of General Practice, Minhang Hospital, Fudan University, 201100 Shanghai, China.
Actas espanolas de psiquiatria
|May 12, 2025
概括
对于精神运动动荡的患者,特别是老年人和男性,经常使用物理约束. 了解影响因素是制定减少限制必要性的干预措施的关键.
科学领域:
- 精神病学是一个精神病学.
- 关键护理医学 关键护理医学
- 护理 护理 护理
背景情况:
- 精神运动激动是一种常见的精神疾病,需要身体克制,并产生大量的医疗保健费用.
- 对心理运动动荡的适当身体限制方法的临床意义的评估给临床医生和研究人员带来了挑战.
研究的目的:
- 系统地审查在重症监护室 (ICU) 和其他医院部门使用身体束的情况.
- 为了确定影响身体约束的应用的关键因素,对于经历心理运动动荡的患者.
主要方法:
- 在PubMed,Embase,Web of Science和Cochrane数据库中进行了全面的文献搜索.
- 两位独立研究人员选了专注于抑制精神运动兴奋的方法的研究,特别是在ICU环境中.
主要成果:
- 七项研究符合本系统性审查的纳入标准.
- 在研究的患者群体中,抑制率差异很大,从8.7%到59.07%.
- 确定的影响因素包括性别,婚姻状况,精神/行为障碍的存在,紧急转诊和机械通风器的使用.
结论:
- 身体克制很普遍,特别是在老年男性和有意识障碍或社会关系缺陷的人群中.
- 几个因素显著影响了心理运动动荡患者的身体限制应用率.
- 需要进一步的研究来开发有针对性的干预措施,以尽量减少对身体限制的需求.
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