“这是可能的,”减少神经发育障碍成年人护理中的胁迫:一项混合评估研究。

IF 0.3 Q4 Medicine
Vincent Billé, Claire Gonsalvès, Agathe Lamarche-Vadel, Hélène Verdoux
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引用次数: 0

摘要

引言:患有神经发育障碍的成年人可能会出现攻击性发作,这可能导致使用隔离或约束。这项研究的目的是评估干预措施的效果,该干预措施旨在减少在患有神经发育障碍并伴有或不伴有精神病的成年人的长期护理室中使用强制措施。方法:单中心研究采用序贯混合方法解释设计。在干预前和干预后的十个月内,收集了有和没有身体约束的隔离期的回顾性数据。在干预期结束时,对该单位的卫生专业人员进行了定性调查,以审查该方法的实施情况和效率。结果:在干预前后,观察到隔离和约束序列的数量、经历隔离和约束的患者数量以及隔离和约束顺序的持续时间显著减少。这种方法的有效性得到了卫生保健专业人员的证实,并归功于领导层专注于限制强制性措施、更好地遵守法律义务、团队凝聚力以及实施替代工具和方法。讨论:减少对患有神经发育障碍的成年人使用强制措施是可能的。需要进一步的研究来证实替代隔离和约束策略的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
“It’s possible”, reducing the coercion in care for adults living with neurodevelopmental disorders: A mixed-methods study

Introduction: Adults living with a neurodevelopmental disorder may present episodes of aggression, which may lead to the use of seclusion or restraint. The aim of the study was to assess the effect of an intervention aimed at reducing the use of coercive measures in a long-term care unit for adults suffering from a neurodevelopmental disorder with or without psychiatric co-morbidities.

Method: The single-center study used a sequential mixed-methods explanatory design. Retrospective data on periods of seclusion, with and without physical restraint, were collected for the ten-month pre-intervention and post-intervention periods. A qualitative survey was conducted at the end of the intervention period among the health professionals working in the unit to review the implementation and the efficiency of the approach.

Results: A significant decrease was observed between the pre- and post-intervention period in the number of seclusion and restraint sequences, the number of patients experiencing seclusion and restraint, and the duration of seclusion and restraint sequences. The efficiency of the approach was confirmed by the health care professionals and was attributed to leadership focused on limiting coercive measures, better adherence to legal obligations, team cohesion, and the implementation of alternative tools and methods.

Discussion: Reducing the use of coercive measures with adults with neurodevelopmental disorders is possible. Further studies are needed to confirm the effectiveness of alternative strategies to seclusion and restraint.

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来源期刊
CiteScore
0.30
自引率
33.30%
发文量
25
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