原创力文档a cross-sectional prospective study of seclusion, restraint and involuntary medication in acute psychiatric wards patient, staff and ward characteristics隐居的横断面前瞻性研究,克制,无意识的药物在急性精神病病房病人,工作人员和病房特点.pdfVIP
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a cross-sectional prospective study of seclusion, restraint and involuntary medication in acute psychiatric wards patient, staff and ward characteristics隐居的横断面前瞻性研究,克制,无意识的药物在急性精神病病房病人,工作人员和病房特点
Husum et al. BMC Health Services Research 2010, 10:89
/1472-6963/10/89
RESEARCH ARTICLE Open Access
A cross-sectional prospective study of seclusion,
restraint and involuntary medication in acute
psychiatric wards: patient, staff and ward
characteristics
1* 2,1 3 4,5
Tonje Lossius Husum , Johan Håkon Bjørngaard , Arnstein Finset , Torleif Ruud
Abstract
Background: Previous research on mental health care has shown considerable differences in use of seclusion,
restraint and involuntary medication among different wards and geographical areas. This study investigates to what
extent use of seclusion, restraint and involuntary medication for involuntary admitted patients in Norwegian acute
psychiatric wards is associated with patient, staff and ward characteristics. The study includes data from 32 acute
psychiatric wards.
Methods: Multilevel logistic regression using Stata was applied with data from 1016 involuntary admitted patients
that were linked to data about wards. The sample comprised two hierarchical levels (patients and wards) and the
dependent variables had two values (0 = no use and 1 = use). Coercive measures were defined as use of
seclusion, restraint and involuntary depot medication during hospitalization.
Results: The total number of involuntary admitted patients was 1214 (35% of total sample). The percentage of
patients who were exposed to coercive measures ranged from 0-88% across wards. Of the involuntary admitted
patients, 424 (35%) had been secluded, 117 (10%) had been restrained and 113 (9%) had received involuntary
depot medication at discharge. Data from 1016 patients could be linked in the multilevel analysis. There was a
substantial between-ward variance in the use of coercive measures; how
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