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结构和临床因素与儿童急诊室的身体限制使用相关
Max J Rolison1,2, Motunrayo Adu3,4, Isaac V Faustino5
1Child Study Center, Yale School of Medicine, New Haven, Connecticut, USA.
Journal of the American College of Emergency Physicians open
|December 1, 2025
概括
患有自闭症的儿科患者,儿童保护服务的参与,或警察/EMS运输更有可能在急诊室体验身体克制. 这些因素,以及种族,突出需要有针对性的干预措施,以减少限制使用.
科学领域:
- 儿科急救医学 儿科急救医学
- 儿童精神病学 儿童精神病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 身体克制是一种有争议的干预措施,用于儿童急诊室 (EDs) 的行为健康问题.
- 了解有助于限制使用的因素对于开发更安全的护理实践至关重要.
研究的目的:
- 调查结构因素 (儿童保护服务参与,警察/EMS运输) 和临床因素 (自闭症诊断) 与儿科ED遇到的身体限制使用之间的关联.
- 为了识别使用身体限制的人口差异.
主要方法:
- 针对行为健康问题的儿科ED遭遇的回顾性队列研究 (2021年1月至2023年10月).
- 多变量后勤回归分析,以评估预测因素和身体限制使用之间的关联,调整为人口统计.
主要成果:
- 在6288次遭遇中,有1.97%使用了身体限制措施.
- 自闭症诊断 (aOR=7.25),警察/EMS运输 (aOR=3.07),儿童保护服务参与 (aOR=1.91) 和黑人种族 (aOR=1.78) 与增加的自制使用显著相关.
- 自闭症儿童被束的可能性超过7倍.
结论:
- 结构性和儿童层面的因素,包括自闭症诊断,儿童保护服务参与,运输方式和种族,独立地与增加的身体克制使用有关.
- 这些发现强调了需要采用多因素方法来缓解儿科紧急行为健康护理中的身体克制.
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