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首页> 外文期刊>The British journal of psychiatry : >Management of psychiatric in-patient violence: patient ethnicity and use of medication, restraint and seclusion
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Management of psychiatric in-patient violence: patient ethnicity and use of medication, restraint and seclusion

机译：精神科住院患者暴力的管理：患者种族和药物使用，约束和隔离

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Background Significant ethnic differences have been found previously on a forensic unit in the management of psychiatric patients after a violent incident. Aims To study the management of violent incidents on all general wards in a large psychiatric hospital in South London. The main question is whether there are differences in the management of Black patients involved in violent incidents compared with White patients and, if so, what are the factors leading to it? Method All recorded violent incidents (1515 in total) on 14 general wards over three years (1994, 1996, 1998) were analysed using mixed logistic regression to estimate the odds ratio that the corresponding management decision (emergency medication, physical restraint, seclusion) was taken for Black patients compared with White patients after controlling for covariates and unobserved heterogeneity between subjects. Results Black patients were more likely than White patients to be given emergency medication and to be secluded after a violent incident, but not to be physically restrained. However, differences disappeared when the odds ratios were adjusted for other variables. Conclusions Racial a€?stereotypinga€? was unlikely to have played a major direct role in determining nursesa€? responses.
机译：背景技术此前，在发生暴力事件后，在精神病患者管理的法医部门发现了明显的种族差异。目的研究伦敦南部一家大型精神病医院内所有普通病房的暴力事件管理。主要问题是，与白人患者相比，涉及暴力事件的黑人患者的治疗是否有差异，如果是，导致这一情况的因素是什么？方法使用混合逻辑回归分析分析了三年（1994年，1994年，1998年）14个普通病房中所有记录的暴力事件（总共1515个），以估计相应管理决策（紧急用药，身体约束，隔离）为在控制了受试者之间的协变量和未观察到的异质性之后，对黑人患者与白人患者进行了比较。结果黑人患者比白人患者更有可能接受紧急药物治疗，并在发生暴力事件后被隔离，但不受身体约束。但是，当针对其他变量调整比值比时，差异消失。结论种族定型。不可能在确定护士人数方面起主要直接作用？回应。

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