未经同意入院和使用人身胁迫手段(以Wrocław精神病医院为例)

IF 0.7 Q4 PSYCHIATRY
A. Kiejna, M. Jakubczyk, S. Chładzińska-Kiejna, P. Baranowski, T. Gondek
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引用次数: 1

摘要

目的:在波兰,强迫病人住院和使用直接身体胁迫手段的问题由《精神健康保护法》规定;但是,没有进行定期研究,以便利监测全国使用强制措施的情况。该研究的目的是评估2011年至2015年期间,对精神病医院住院病房收治的患者使用直接胁迫措施的发生率,以及Wrocław精神病医院使用这种措施的发生率。方法:采用低保监测问卷、入院资料和强制医疗基本资料。为了评估精神病治疗和心理社会康复的质量,使用了国际精神卫生保健分类问卷。结果:2011 - 2015年非自愿住院率平均为28.92%。在研究期间,基于LoMHP第23、24和29条的非自愿入院率和基于LoMHP第28条的住院率保持稳定。绝大多数非自愿收容是根据第23条。每10万居民非自愿住院的比率平均为65.14%。非自愿入院通常指的是诊断为F20(精神分裂症)和F31(双相情感障碍)的人。平均有19.64%的住院患者采用直接强制措施。结论:p使用胁迫是波兰精神病院的一种普遍现象。每10万居民的非自愿住院比率在其他国家这一比率的平均值之内。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Admission without consent and use of means of physical coercion on the example of psychiatric hospital in Wrocław
Purpose: In Poland, the issue of hospitalising patients against their will and using means of direct physical coercion are regulated by the provisions of Law on Mental Health Protection (LoMHP); however, but no regular studies have been conducted to facilitate monitoring of the incidence of using coercive measures in the entire country. The aim of the study is to assess the incidence of using direct coercion measures on the patients admitted to in-patient wards of psychiatric hospitals and using such measures in Psychiatric Hospital in Wrocław, in the period from 2011 to 2015. Methods: The monitoring questionnaires of LoMHP, data on admissions and basic data characterising compulsory treatment were used. In order to assess the quality of psychiatric treatment and psychosocial rehabilitation, the International Classification of Mental Health Care questionnaire was used. Results: The average of involuntary admissions in the period between 2011 and 2015 amounted to 28.92%. The rates of admissions against the will of the patient based on articles 23, 24 and 29 of LoMHP, and the rate of patients held in hospital based on article 28 of LoMHP were stable in the studied period. The vast majority of involuntary admissions was based on article 23. The ratio of involuntary hospitalisation for 100 thousand residents was on average 65.14. Involuntary admissions usually referred to people with diagnosed F20 (schizophrenia) and F31 (bipolar disorders). Direct coercive measures were used on average on 19.64% hospitalised patients. Conclusions: PThe use of coercion is a common phenomenon in psychiatric institutions in Poland. The ratio of involuntary hospitalisation for 100 thousand residents was within the average values of this ratio in other countries.
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来源期刊
Postepy Psychiatrii i Neurologii
Postepy Psychiatrii i Neurologii Psychology-Clinical Psychology
CiteScore
0.90
自引率
0.00%
发文量
13
期刊介绍: The quarterly Advances in Psychiatry and Neurology is aimed at psychiatrists, neurologists as well as scientists working in related areas of basic and clinical research, psychology, social sciences and humanities. The journal publishes original papers, review articles, case reports, and - at the initiative of the Editorial Board – reflections or experiences on currently vivid theoretical and practical questions or controversies. Articles submitted to the journal are evaluated first by the Section Editors, specialists in the fields of psychiatry, clinical psychology, science of the brain and mind and neurology, and reviewed by acknowledged authorities in the respective field. Authors and reviewers remain anonymous to each other.
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