[关于隔离、机械约束和化学约束的联合研究:法国三家精神病院的试点研究]。

IF 1.2 4区 医学 Q4 NEUROSCIENCES
Anne-Cécile Blandin, Samy Dallel, Julien Degry, Éric Fakra, Sébastien Hardy, Justine Liothier, Delphine Moreau, Fabrice Lagrange, Yvonne Quenum, Sébastien Saetta
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引用次数: 0

摘要

仅在特殊情况下使用隔离和机械约束的精神病病房可能被怀疑使用了 "化学约束"。不过,就这些服务而言,也可以提出限制措施的总体水平有所下降的假设。在进行全面研究以验证这些假设之前,目前的研究旨在评估界定大量使用这些措施的指标和相关样本。研究在三家医疗机构进行,一周内共有 254 名住院患者。其中,5%的患者被隔离,2%的患者受到机械约束,13%的患者接受了大剂量药物治疗(包括 "按需 "治疗)。这些数字低于文献数据和全国平均水平。各中心之间存在差异,其中一个中心在所有三项措施中的百分比都较高。这项研究证实了对这些指标进行综合研究的可行性,但同时也表明需要对处方实践进行更长时间的观察和持续评估,以更好地反映每年的隔离和约束趋势。未来的研究应涉及更多的中心,并包括案例研究,以便深入了解与处方相关的管理实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Joint study of seclusion, mechanical restraint and chemical restraint: Pilot study in three French psychiatric hospitals].

Psychiatric wards that only exceptionally use isolation and mechanical restraint may be suspected of using "chemical restraint". However, in the case of these services, the hypothesis of a reduction in the general level of restraint can also be formulated. Prior to a comprehensive study to test these hypotheses, the current research aims to assess indicators which define high levels of the use of these measures and a relevant sample. The study was conducted in three facilities with 254 hospitalized patients over a week. Five per cent experienced isolation, 2% mechanical restraint, and 13% received high doses of medication (including "as needed" treatments). These figures are below literature data and national averages. Variances exist among centers, with one showing higher percentages for all three measures. While confirming the feasibility of studying these measures together, the study suggests the need for longer observations and continuous evaluation of prescription practices to better reflect yearly isolation and restraint trends. Future studies should involve more centers and include case studies for a nuanced understanding of administration practices in relation to prescriptions.

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来源期刊
CiteScore
4.60
自引率
7.40%
发文量
162
审稿时长
6-12 weeks
期刊介绍: Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.
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