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医学临床研究  2023, Vol. 40 Issue (9): 1346-1349    DOI: 10.3969/j.issn.1671-7171.2023.09.018
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精神病患者保护性约束现状及相关影响因素调查
李相, 杨晓丽*, 袁明
上海市嘉定区精神卫生中心护理部,上海 201806
Investigation on the Current Status of Protective Restraint in Psychiatric Patients and Related Influencing Factors
LI Xiang, YANG Xiaoli, YUAN Ming
Department of Nursing,Jiading District Mental Health Center,Shanghai 201806
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摘要 【目的】探讨精神病患者实施保护性约束的现状情况及影响保护性约束的相关因素。【方法】回顾性分析在本院住院治疗的120例精神病患者的临床资料,根据是否实施保护性约束将患者分为保护性约束组和未保护性约束组。对患者的病情情况进行调查,统计并比较两组患者性别、年龄、疾病类型、病程、职业、文化背景、婚姻情况、疾病复发次数、既往暴力史、身材特征、既往约束经历、既往攻击行为、既往出走行为、治疗依从性等一般资料,采用多因素Logistic回归分析影响保护性约束的独立危险因素。【结果】120例精神病患者中,有45例(37.50%)实施保护性约束,75例(62.50%)未进行保护性约束,两组患者年龄、病程、疾病复发次数、既往暴力史、既往约束经历、既往攻击行为、既往出走行为、治疗依从性等情况比较,差异有统计学意义(P<0.05)。经多因素Logistic回归分析显示,病程<5年、既往约束经历、既往攻击行为、既往出走行为、治疗依从性差均是影响精神病患者保护性约束的独立危险因素(P<0.05)。【结论】病程<5年、既往约束经历、既往攻击行为、既往出走行为、治疗依从性差等是精神病患者保护性约束的独立危险因素,临床应重视患者上述因素,及时采取相应预防干预措施,提升保护性约束的有效性。
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李相
杨晓丽
袁明
关键词 精神病人约束,身体的影响因素分析    
Abstract:【Objective】To investigate the current situation of protective restraint implementation in psychiatric patients and the factors influencing it.【Methods】A retrospective selection of clinical information from 120 psychiatric patients hospitalized in our institution was conducted. Based on whether protective restraint was applied,patients were divided into the protective restraint group and the non-restraint group. The patients' condition was surveyed,and the general information such as gender,age,type of illness,duration of the disease,occupation,cultural background,marital status,number of disease relapses,history of violence,physical characteristics,past restraint experiences,past aggressive behaviors,past runaway behaviors,and treatment compliance were statistically compared between the two groups. The independent risk factors affecting the protective restraint were analyzed using multifactorial logistic regression.【Results】Out of the 120 psychiatric patients,45 (37.50%) had protective restraints applied,while 75 (62.5%) did not receive protective restraints. The differences between the two groups in terms of age,duration of the disease,number of disease relapses,history of violence,past restraint experiences,past aggressive behaviors,past runaway behaviors,and treatment compliance were statistically significant (P<0.05). Multifactorial logistic regression analysis showed that duration of the disease (less than 5 years),past restraint experiences,past aggressive behaviors,past runaway behaviors,and poor treatment compliance were all independent risk factors affecting the protective restraint in psychiatric patients (P<0.05).【Conclusion】The duration of the disease,past restraint experiences,past aggressive behaviors,past runaway behaviors,and poor treatment compliance are independent risk factors influencing the protective restraint of psychiatric patients. Clinically,there should be increased attention to these factors in patients,timely preventive intervention measures should be taken,and the effectiveness of protective restraints should be enhanced.
Key wordsMentally Ill Persons    Restraint,Physical    Root Cause Analysis
收稿日期: 2022-11-16     
中图分类号:  R749  
通讯作者: *E-mail:yxl8589@163.com   
引用本文:   
李相, 杨晓丽, 袁明. 精神病患者保护性约束现状及相关影响因素调查[J]. 医学临床研究, 2023, 40(9): 1346-1349.
LI Xiang, YANG Xiaoli, YUAN Ming. Investigation on the Current Status of Protective Restraint in Psychiatric Patients and Related Influencing Factors. JOURNAL OF CLINICAL RESEARCH, 2023, 40(9): 1346-1349.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2023.09.018     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2023/V40/I9/1346
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