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| 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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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.
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Received: 16 November 2022
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2023, Vol. 40 
