隔離和約束治療之使用與暴力行為之相關性探討

The Relationship of the Use of Seclusion and Restraint and the Violence

江漢光(Hann-Kuang Jiang) ； 馮榕(Yung Feng) ； 陸汝斌(Ru-Band Lu) ； 林文隆(Wen-Long Lin) ； 沈楚文(Chou-Wen Shen)

《Journal of Medical Sciences》 6卷1期 (1985/07) Pp. 45-52

摘要

The use of seclusion and restraint on our psychiatric ward in a general hospital was studied retrospectively from January to December, 1982. Of totally 375 admission inpatients, 21.9% experienced seclusion or restraint at least once. There were more functional psychotic than non-psychotic patients who required seclusion or restraint. However, neither psychotic vs. non-psychotic diagnosis nor voluntary vs. involuntary admission status predicted the likelihood of violence threats or behaviors, in other words, more psychotic patients than non-psychotic patients engaged in nonviolent behavior, i.e., were agitated, behaved grossly inappropriately or attempted to escape. Patients experiencing seclusion and restraint showed a nonsignificant trend toward longer mean length of stay in the hospital. In general, frequency of seclusion or restraint occurrence was highest in daytime, and lowest after midnight. The causes for leading patients to seclusion or restraint appeared to be directly related to the staff policy and interactions with other patients. These findings pointed out the need for more reliable predictions of violence in psychiatric population.

關鍵字

隔離治療 ； 約束治療 ； 暴力行為

並列摘要

The use of seclusion and restraint on our psychiatric ward in a general hospital was studied retrospectively from January to December, 1982. Of totally 375 admission inpatients, 21.9% experienced seclusion or restraint at least once. There were more functional psychotic than non-psychotic patients who required seclusion or restraint. However, neither psychotic vs. non-psychotic diagnosis nor voluntary vs. involuntary admission status predicted the likelihood of violence threats or behaviors, in other words, more psychotic patients than non-psychotic patients engaged in nonviolent behavior, i.e., were agitated, behaved grossly inappropriately or attempted to escape. Patients experiencing seclusion and restraint showed a nonsignificant trend toward longer mean length of stay in the hospital. In general, frequency of seclusion or restraint occurrence was highest in daytime, and lowest after midnight. The causes for leading patients to seclusion or restraint appeared to be directly related to the staff policy and interactions with other patients. These findings pointed out the need for more reliable predictions of violence in psychiatric population.

並列關鍵字

Seclusion ； Restraint ； Violence behavior