2026-04-13T05:46:13Zhttps://recercat.cat/oai/request
oai:recercat.cat:2445/1824282025-12-05T15:55:07Zcom_2072_1057col_2072_478860col_2072_478917
RECERCAT author El Abidi El Ghazouani, Khadija author Moreno Poyato, Antonio Rafael author Toll Privat, Alba author Corcoles Martinez, David author Aceña-Domínguez, Rosa author Pérez Solá, Victor author Mané, Anna 2022-01-17T18:11:20Z2022-01-17T18:11:20Z2021-10-192022-01-17T18:11:20Z Background: Despite numerous attempts to reduce the use of mechanical restraint (MR), this technique continues to be widely applied in many acute psychiatric care settings. In order to reduce MR, a better understanding of the variables associated with its use and duration in different clinical environments is essential. Aim: To determine the proportion of patients subjected to MR and the duration thereof in two acute care psychiatric units; and to identify the variables associated with the use and duration of MR. Methods: Descriptive study of all patients admitted to the acute psychiatric units at the Parc de Salut Mar (Barcelona, Spain) in the year 2018. The number and percentage of patients subjected to MR, as well as the duration of each episode were assessed. The following data were also registered: sociodemographic characteristics, psychiatric diagnosis, and presence of cultural and/or language barriers. Multivariate analyses were performed to assess determinants of MR and its duration. Results: Of the 464 patients, 119 (25.6%) required MR, with a median of 16.4 h per MR. Two factors - a diagnosis of psychotic disorder [Odds ratios (OR) = 0.22; 95%CI: 0.06-0.62; P = 0.005] and the presence of a language barrier (OR = 2.13; 95%CI: 1.2-3.7; P = 0.007) - were associated with a significantly higher risk of MR. Male sex was associated with a longer duration of MR (B = -19.03; 95%CI: -38.06-0.008; P = 0.05). Conclusion: The presence of a language barrier and a psychotic disorder diagnosis are associated with a significantly higher risk of MR. Furthermore, male sex is associated with a longer duration of MR. Individualized restraint protocols that include the required tools are necessary to ultimately limit the use of mechanical restraint. cc-by-nc (c) Baishideng Publishing Group Inc, 2021 https://creativecommons.org/licenses/by-nc/4.0/ info:eu-repo/semantics/openAccess Intervenció en crisis (Psiquiatria) Seguretat dels pacients Psicosi Crisis intervention (Mental health services) Patients safety Psychoses Determinants of mechanical restraint in an acute psychiatric care unit info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion