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首页> 外文期刊>The International journal of social psychiatry >Mental health service users' perceptions and experiences of sedation, seclusion and restraint.
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Mental health service users' perceptions and experiences of sedation, seclusion and restraint.

机译：精神卫生服务使用者对镇静，隔离和约束的看法和经验。

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BACKGROUND: Sedation, seclusion or restraint are recognized methods of containing a person experiencing an acute psychotic episode with behavioural disturbance which has not responded to verbal or non-sedating pharmacological interventions. These interventions pose significant ethical and practical challenges to service providers who are responsible for safeguarding the human rights of mental health service users. AIMS: In a collaborative two-phase study between mental health care providers and mental health service users, the perceptions and experiences of a group of service users who have been exposed to sedation, seclusion and restraint were explored. METHOD: A focus group was conducted with eight service users. The content of the focus group was transcribed and themes were identified using thematic analysis. These were presented to a second focus group consisting of eight other service users for validation and comment. Based on the results of the focus groups, a questionnaire was developed and administered to a convenience sample of 43 service users in three localities. RESULTS: Service users reported inadequate communication between them and service providers and perceived that their human rights had been infringed during acute episodes of illness. METHODS: of containment were often seen as punitive rather than therapeutic. Sedation was most frequently used and was considered to be least distressing. Observing methods of forced/involuntary containment caused further distress. CONCLUSIONS: There is a need to humanize service users' experiences during episodes of acute illness. Measures should include prevention of human rights abuses; minimization of isolation and distress; improvement of communication between service providers and service users; and promotion of attitudinal changes which reflect respect for other people's dignity.
机译：背景：镇静，隔离或克制是遏制遭受行为紊乱的急性精神病发作的人的一种公认方法，该行为紊乱对语言或非镇静药理干预措施无反应。这些干预措施对负责维护精神卫生服务使用者人权的服务提供者构成了重大的道德和实践挑战。目的：在精神卫生保健提供者和精神卫生服务使用者之间的两阶段合作研究中，研究了一组受到镇静，隔离和约束的服务使用者的看法和经验。方法：一个焦点小组由八个服务用户组成。转录了焦点小组的内容，并通过主题分析确定了主题。这些内容已提交给第二个焦点小组，由八个其他服务用户组成，以进行验证和评论。根据焦点小组的结果，编制了一份调查表并将其分发给三个地区的43位服务用户的便利样本。结果：服务使用者报告他们与服务提供者之间的沟通不足，并认为他们的人权在急性疾病发作期间受到侵犯。方法：围堵通常被视为惩罚性的而不是治疗性的。镇静是最常用的方法，被认为减轻了痛苦。强迫/非自愿围堵的观测方法造成了进一步的困扰。结论：在急性疾病发作期间，需要人性化服务使用者的体验。措施应包括防止侵犯人权;尽量减少孤立感和痛苦;改善服务提供者与服务使用者之间的沟通;促进反映尊重他人尊严的态度变化。

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