title: [Are restraints used too frequently? Indications, incidence and conditions for restraint in a general psychiatric department. A prospective study].
abstract: A 10-month prospective study of 148 restraints on the acute psychiatric wards of a general hospital aimed to describe the institutional context of restraints. Nursing and medical staff were inquired according to a standardised procedure about ward atmosphere, staffing, medication and other factors. 81% of restraints lasted up to 2 hours, danger of harm to others was found the principal indication criterion (70%). 41% restraints occurred during the first 3 days after admission, mainly within the late shift of nursing staff and outside the regular office hours of the doctors. Ward atmosphere was rated rather relaxed, whereas nursing staff twice as often as doctors rated medication as insufficient. Implications for indication on the use of restraints and for future research are discussed.
authors.affiliation: Psychiatrische Abteilung Krankenhaus Neukölln, Berlin.
authors.forename: H
authors.initials: H
authors.lastname: Klimitz
authors.forename: H
authors.initials: H
authors.lastname: Uhlemann
authors.forename: E
authors.initials: E
authors.lastname: Fähndrich
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany / Q000453:epidemiology; D006769:Hospitals, General / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data; D011446:Prospective Studies; D011567:Psychiatric Department, Hospital / Q000706:statistics & numerical data*; D012149:Restraint, Physical; D012931:Social Environment
vernacular_title: Fixieren wir zu häufig? Indikation, Häufigkeit und Randbedingungen von Fixierungen in einer allgemeinpsychiatrischen Abteilung. Eine prospektive Studie.