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Accession number;99A0287066
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| Title;Relationship between the Use of a Seclusion Room and the Difficulty of Nursing Care of Locked-Ward Inpatients with Acute Psychiatric Disorders. |
| Author;
TAKAHASHI MEGUMI
(Kanagawa-kenritsu Seishin'iryo Senta Serika Byoin)
FURUKAWA YOSHIKO
(Kanagawa-kenritsu Seishin'iryo Senta Serika Byoin)
KOBAYASHI KUMIKO
(Kanagawa-kenritsu Seishin'iryo Senta Serika Byoin)
IWANARI HIDEO
(Kanagawa-kenritsu Seishin'iryo Senta Serika Byoin)
DAIMON HIDEMITSU
(Kanagawa-kenritsu Seishin'iryo Senta Serika Byoin)
SHIOZAKI KAZUMASA
(Kanagawa-kenritsu Seishin'iryo Senta Serika Byoin)
KITAMURA NORIKO
(Kanagawa-kenritsu Seishin'iryo Senta Serika Byoin)
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Journal Title;Clinical Psychiatry
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Journal Code:Z0446B
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ISSN:0488-1281
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VOL.41;NO.2;PAGE.139-145(1999)
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| Figure&Table&Reference;TBL.5, REF.10 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Kanagawa Psychiatric Center Kinkou Hospital in Kanagawa prefecture has nine wards including eight seclusion rooms for psychiatric emergency cases in the evenings and on holidays. Our locked-ward has six seclusion rooms including four for emergency purpose. We investigated the relationship between the use of a seclusion room and the difficulty of nursing care from May 1997 to October 1997. The number of new inpatients admitted to the seclusion rooms was 43, and 2 of them were not able to be entered for the purpose of study. Male/female ratio was 1.3, and average age was 40.5 y. Involuntary admission because of fear of self injury and of harming others under the mental health and welfare law was about 75%. The most frequent diagnosis was schizophrenia. The period of use of the seclusion room was 16.4.+-.8.3 days until transfer to a non-restricted room or a different hospital was possible. Opening the seclusion room at mealtime was possible 6.8.+-.3.8 days after admission, and opening during daytime was possible 8.4.+-.4.7 days after admission. These periods were influenced by admission form and route, but not by sex or diagnosis. We selected 13 items for checking the difficulty of nursing care. These items were summarized to 5 factors using factor analysis. Among them, the aggression factor, irritation factor and care factor were significantly related to whether the room was to be opened or not at mealtime. Beside these 3 factors, the complication factor was closely associated with the suitability of opening the room during daytime. These data suggest that the level of self-care and physical complications have to be taken into account when considering the use of seclusion rooms. (author abst.) |
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