Fiziksel Tespit Azaltma Kapsamında Uygulanan Müdahaleler

Yıl 2022, , 27 - 32, 20.04.2022

Ahmet Göktaş , Kadriye Buldukoğlu

https://doi.org/10.48071/sbuhemsirelik.1006427

Cited By: 1

Öz

Fiziksel tespit, saldırgan hastaları kontrol etmek için ilkel toplumlardan beri uygulanmaktadır. Psikiyatri kliniklerinde hastayı ve diğerlerini korumak amacıyla yapılan fiziksel tespit uygulamaları hasta yararına bir uygulama olmasına rağmen, kullanımına bağlı olarak birçok olumsuzlukları da beraberinde getirmektedir. Bu nedenle 20. yüzyılın sonlarına doğru fiziksel tespit kullanımında kısıtlamalar gündeme gelmiştir. Yaklaşık 30-40 yıldır fiziksel tespit kullanımının azaltılması için birçok çalışma yapılmıştır. Bu çalışmalarda fiziksel tespit azaltma kapsamında bazı müdahaleler kullanılarak fiziksel tespit kullanımı azaltılmaya çalışılmıştır. Bu bilgiler doğrultusunda bu derleme çalışmasının amacı, fiziksel tespit azaltma kapsamında yapılan müdahaleleri belirlemek ve bu müdahalelerin etkilerini sunmaktır.

Anahtar Kelimeler

Fiziksel tespit, fiziksel tespit azaltma, psikiyatri kliniği

Interventions Applied in the Scope of Reducing Physical Restraints

Öz

Physical restraint has been applied since primitive societies to control aggressive patients. Although physical restraint applications in psychiatric settings to protect the patient and others are an application for the benefit of the patient, it also brings many disadvantages depending on its use. Therefore, towards the end of the 20th century, restrictions on the use of physical restraints came to the fore. Many studies have been conducted to reduce the use of physical restraints for about 30-40 years. In these studies, some interventions were used to reduce the use of physical restraints within the scope of physical restraint reduction. In line with this information, the purpose of this review is to identify the interventions applied within the scope of reducing physical restraint and to present the effects of these interventions.

Anahtar Kelimeler

Physical restraint, psychiatric setting, reducing physical restraint

Kaynakça

• American Psychiatric Nurses Association (APNA). (2014). Standards of Practice: Seclusion and Restraint. Retrieved from (09.02.2016): http://www.apna.org/i4a/pages/index.cfm?pageid=3730
• Belanger, S. (2001). The "S&R Challenge": Reducing the use of seclusion and restraint in a state psychiatric hospital. Journal for Healthcare Quality, 23, 19-24.
• Bilici, R., Sercan, M. ve Tufan, E. (2013). Psikyatri Kliniklerinde Yalıtım ve Bağlama Uygulamaları. Düşünen Adam, 26, 80-88.
• Bower, F.L., McCullough, C.S. & Timmons, M.E. (2003). A Synthesis of What We Know About the Use of Physical Restraints and Seclusion with Patient in Psychiatric an Acute Care Settings: 2003 Update. The Online Journal of Knowledge Synthesis for Nursing, 10, 1-29.
• Brooke, PS. (2013). Legal and Ethical Basis for Practice. In EM. Varcarolis, (Ed). Essentials Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care (pp: 81-95). 2nd ed. China: Elsevier Saunders.
• Coşkun, S., Avlamaz, F. ve Genç, H. (2010). Akut Psikoz Kliniklerinde Mekanik Tespit Uygulamasında Cinsiyete Özgü Farklılıklar. Psikiyatri Hemşireliği Dergisi, 3, 108-114.
• Craig, C., Ray, F. & Hix, C. (1989). Seclusion and restraint: Decreasing the discomfort. Journal of Psychosocial Nursing, 27, 16-19.
• Damen, IM. (2009). The effectiveness of a restraint reduction policy implemented to reduce the use of physical restraint with children and adolescents in a residential care facility. PhD diss., University of Tennessee. Retrieved from (25.06.2021): https://trace.tennessee.edu/cgi/viewcontent.cgi?article=1062&context=utk_graddiss.
• Duxbury, J., Baker, J., Downe, S., Jones, F., Greenwood, P., Thygesen, H., ... Whittington, R. (2019). Minimising the use of physical restraint in acute mental health services: The outcome of a restraint reduction programme (‘REsTRAIN YOURSELF’). International journal of nursing studies, 95, 40-48.
• Forster, P.L, Canvess, C. & Phelps, M. (1999). Staff Training decreases use of seclusion and restraint in an acute psychistric hospital. Archives of Psychiatric Nursing, 13, 269-271.
• Goulet, M.H., Larue., C. & Dumais, A. (2017). Evaluation of seclusion and restraint reduction programs in mental health: a systematic review. Aggression and Violent Behavior, 34, 139-146.
• Hamers, J.P. & Huizing, A.R. (2005). Why do we use physical restraints in the elderly?. Zeitschrift für Gerontologie und Geriatrie, 38(1), 19-25.
• Jonikas, J.A., Cook, J.A., Rosen, C., Laris, A. & Kim, J.B. (2004). A program to reduce use of physical restraint in psychiatric inpatient facilities. Psychiatric Services, 55(7), 818-820.
• Kaltiala-Heino, R,, Tuohimaki, C., Korkeila, J. & Lehtinen, V. (2003). Reasons for using seclusion and restraint in psyhciatric inpatient care. International Journal of Law and Psychiatry, 26, 139-149.
• Lai, C.K.Y., Chow, S.K.Y., Suen, L.K.P. & Wong, I.Y.C. (2013). Reduction of physical restraints on patients during hospitalisation/rehabilitation: a clinical trial. Asian J Gerontol Geriatr, 8, 38-43.
• McCue, R.E., Urcuyo, L., Lilu, Y., Tobias, T., & Chambers, M.J. (2004). Reducing restraint use in a public psychiatric inpatient service. The Journal of Behavioral Health Services & Research, 31(2), 217-224.
• Mistral, W., Hall, A. & McKee, P. (2002). Using therapeutic commuty principles to improve the functioning of a high care psychiatric ward in the UK. International Journal of Mental Health Nursing, 11, 10-17.
• Sercan, M. ve Bilici, R. (2008). Türkiye'de Bir Ruh Sağlığı Bölgesindeki Hasta Bağlama Uygulamalarının Değişkenleri. Türk Psikiyatri Dergisi, 20, 37-48.
• Snelgrove, C.E, & Flaherty, E.L. (1975). An Attitude therapy program helps reduce the use of physical restraint. Hospital and Commuty Psychiatry, 26, 137-138.
• Stewart, D., Van der Merwe, M., Bowers, L., Simpson, A., & Jones, J. (2010). A review of interventions to reduce mechanical restraint and seclusion among adult psychiatric inpatients. Issues in Mental Health Nursing, 31: 413-424.
• Sullivan, A.M., Bezmen, J., Barron, C.T., Rivera, J., Curley-Casey, L., & Marino, D. (2005). Reducing restraints: alternatives to restraints on an inpatient psychiatric service—utilizing safe and effective methods to evaluate and treat the violent patient. Psychiatric quarterly, 76(1), 51-65.
• Taxis, J.C. (2002). Ethics and Praxis: Alternative Strategies to Physical Restraint and Seclusion in a Psychiatric Setting. Issues in Mental Health Nursing, 23, 157-170.
• Tel, H., Beyaztaş, FY. (2002). Hastalara Fiziksel Tespit Uygulaması. Sürekli Tıp Eğitimi Dergisi, 11, 184-185.
• Uzun, U., Sancak, B., Özer, Ü. ve Özen, Ş. (2015). Tespit Uygulamalarını Etkileyen Değişkenler: Bir Ruh Sağlığı Hastanesi Örneği. Yeni Symposium, 53, 16-21.
• Verheul, R., Van Den Bosch, L.M., Koeter, M.W., De Ridder, M.A., Stijnen, T. & Van Den Brink, W. (2003). Dialectical behaviour therapy for women with borderline personality disorder: 12-month, randomised clinical trial in The Netherlands. The British journal of psychiatry, 182(2), 135-140.
• Videbeck, SL. (2020). Legal and Ethical Issues. In: Videbeck S.L. (Ed). Psychiatric-Mental Health Nursing. Philadelphia: Lippincott Williams & Wilkins; p. 338-360.
• Visalli, H., McNasser, G., Johnstone, L., & Lazzaro, C.A. (1997). Reducing high-risk interventions for managing aggression in psychiatric settings. Journal of Nursing Care Quality, 11(3), 54-61.
• Wale, J. B., Belkin, G. S., & Moon, R. (2011). Reducing the use of seclusion and restraint in psychiatric emergency and adult inpatient services—improving patient-centered care. The Permanente Journal, 15(2), 57.
• Ye, J., Xia, Z., Nie, S., Wang, C., Liao, Y., Xu, Y., ... Xiao, A. (2021). Effectiveness of CRSCE-based de-escalation training on reducing physical restraint in psychiatric hospitals: a cluster randomized controlled trial. Frontiers in Psychiatry, 12, 87.