Investigation on the protective restraint in 400 patients with affective disorders
10.3760/cma.j.cn115682-20200407-02518
- VernacularTitle:400例情感性精神障碍患者保护性约束的现状调查
- Author:
Jiangling XU
1
;
Gen CHENG
;
Yancun FENG
;
Yongjie LI
;
Meng CHEN
Author Information
1. 首都医科大学附属北京安定医院六区，北京 100088
- Keywords:
Mood disorders;
Protective restraint;
Experience
- From:
Chinese Journal of Modern Nursing
2020;26(28):3960-3964
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status of protective restraint during hospitalization in patients with affective disorders.Methods:A self-made questionnaire was used to investigate 400 patients with convalescent affective disorder in a psychiatric hospital in Beijing from November 2018 to April 2019.Results:Among 400 patients with affective disorders, 158 cases had restraint experience, and the incidence of protective restraint was 39.50%. Among the physical influences caused by protective restraint, 147 cases (93.03%) of limb movement were restricted, 133 cases (84.17%) were unable to defecate on their own, and 88 cases (55.69%) had limb pain. Among the psychological influences caused by protective restraint, 83 cases (52.53%) were helpless, 82 cases (51.89%) were aggrieved, 78 cases (49.37%) were powerless and 68 cases (43.04%) were fearful. There were statistically significant differences in age, gender, marital status, number of hospitalizations, and hospitalization diagnosis among patients with protective restraint experience, witnessed protective restraint and never exposed to protective restraint ( P<0.05) . Conclusions:Patients with affective disorders have a high rate of protective restraint. The physical influence and negative psychological experience of patients during and after the protective restraint is a potential threat to the establishment of the doctor-patient treatment alliance. Health education of protective restraint knowledge should be strengthened for inpatients, and comprehensive health education, nursing measures, and psychological interventions should be provided for protective restraint patients, so as to improve the misunderstanding of protective restraint in patients with affective disorders and reduce the negative experience and psychological influences of protective restraint in patients.
