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首页> 外文期刊>The British journal of psychiatry : >Aggression and seclusion on acute psychiatric wards: effect of short-term risk assessment.
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Aggression and seclusion on acute psychiatric wards: effect of short-term risk assessment.

机译：急性精神病房的侵略与隔离：短期风险评估的效果。

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BACKGROUND: Short-term structured risk assessment is presumed to reduce incidents of aggression and seclusion on acute psychiatric wards. Controlled studies of this approach are scarce. AIMS: To evaluate the effect of risk assessment on the number of aggression incidents and time in seclusion for patients admitted to acute psychiatric wards. METHOD: A cluster randomised controlled trial was conducted in four wards over a 40-week period (n = 597 patients). Structured risk assessment scales were used on two experimental wards, and the numbers of incidents of aggression and seclusion were compared with two control wards where assessment was based purely on clinical judgement. RESULTS: The numbers of aggressive incidents (relative risk reduction -68%, P<0.001) and of patients engaging in aggression (relative risk reduction RRR = -50%, P<0.05) and the time spent in seclusion (RRR = -45%, P<0.05) were significantly lower in the experimental wards than in the control wards. Neither the number of seclusions nor the number of patients exposed to seclusion decreased. CONCLUSIONS: Routine application of structured risk assessment measures might help reduce incidents of aggression and use of restraint and seclusion in psychiatric wards.
机译：背景：短期结构性风险评估被认为可以减少急性精神病房的侵略和隔离事件。这种方法的对照研究很少。目的：评估风险评估对急性精神科病房患者的侵略事件数量和隔离时间的影响。方法：一项为期40周的4个病区（n = 597例患者）的整群随机对照试验。在两个实验病房中使用了结构化的风险评估量表，并将侵略和隔离的事件数量与两个对照病房进行了比较，在这两个评估病房中，评估纯粹基于临床判断。结果：侵略性事件的数量（相对风险降低-68％，P <0.001）和参与攻击的患者（相对风险降低RRR = -50％，P <0.05）和隐居所花费的时间（RRR = -45） ％，P ＜0.05）在实验病房中显着低于对照病房。隔离的数量和暴露于隔离的患者数量均未减少。结论：常规应用结构化风险评估措施可能有助于减少侵略事件以及在精神病房中使用约束和隔离措施。

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