首页> 外文期刊>Journal of applied research in intellectual disabilities: JARID >Choosing Staff Members Reduces Time in Mechanical Restraint Due to Self-Injurious Behaviour and Requesting Restraint
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Choosing Staff Members Reduces Time in Mechanical Restraint Due to Self-Injurious Behaviour and Requesting Restraint

机译:选择员工可减少因自残行为和要求约束而造成的机械约束时间

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Background Using mechanical restraints to protect a person who engaged in dangerous self-injury was decreased by manipulation of an establishing operation involving the client choosing the staff person who would work with her. Materials and Methods The client was a 28-year-old woman diagnosed with autism, bipolar disorder, static cerebral encephalopathy, moderate intellectual disabilities, hypotonia and musculoskeletal deformities. She had a history of biting herself and further bites could produce irreversible nerve damage. Mechanical restraints were applied when she bit, tried to bite herself or asked for them. Results When she was allowed to choose staff members, the use of mechanical restraint decreased. Conclusion Reducing the time spent in mechanical restraint by giving the client a choice of staff members who would work with her demonstrates that such a choice may be an establishing operation. The usefulness of cumulative records and scatterplots to evaluate changes in the occurrence of self-injurious behaviour (SIB) and associated mechanical restraint is shown as are the advantages of using alternating treatment designs to assess the effectiveness of treatment conditions for someone who exhibits long-term cyclic behaviour.
机译:背景技术通过操纵涉及客户选择将与她一起工作的员工的建立操作,减少了使用机械约束来保护从事危险自伤的人员。材料和方法该患者是一名28岁的女性,被诊断患有自闭症,躁郁症,静态脑性脑病,中度智力障碍,肌张力低下和肌肉骨骼畸形。她有咬自己的病史,进一步咬可能会造成不可逆转的神经损伤。当她咬人,试图咬自己或要求他们时,施加了机械约束。结果当允许她选择工作人员时,机械约束的使用减少了。结论通过给客户选择与她一起工作的工作人员来减少机械约束所花费的时间,这表明这种选择可能是一种确定的操作。累积记录和散点图可用于评估自伤行为(SIB)和相关机械约束的发生变化,其有用之处在于,使用交替治疗设计来评估长期表现的人的治疗条件是否有效周期性行为。

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