中青年男性精神分裂症患者保护性约束真实经历与心理体验的质性研究  

Real-life and psychological experiences of protective restraints in young and middle-aged male patients with schizophrenia:a qualitative study

作　　者：黄嘉威[1,2] 梁容玉 曾钢 肖爱祥[2,4] 叶君荣 曹伟烨 王雯[2,5] Huang Jiawei;Liang Rongyu;Zeng Gang;Xiao Aixiang;Ye Junrong;Cao Weiye;Wang Wen(Department of Psychiatry,the Affiliated Brain Hospital,Guangzhou Medical University,Guangzhou 510370,China;Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China,Guangzhou Medical University,Guangzhou 510370,China;Department of Geriatric Psychiatry,the Affiliated Brain Hospital,Guangzhou Medical University,Guangzhou 510370,China;Nursing Department,the Affiliated Brain Hospital,Guangzhou Medical University,Guangzhou 510370,China;School of Nursing,Guangzhou Medical University,Guangzhou 510180,China)

机构地区：[1]广州医科大学附属脑科医院精神神经科学病房,广州510370 [2]广东省神经科学疾病研究重点实验室、神经致病基因和离子通道病教育部重点实验室,广州510370 [3]广州医科大学附属脑科医院老年精神科,广州510370 [4]广州医科大学附属脑科医院护理部,广州510370 [5]广州医科大学护理学院,广州510180

出　　处：《中华现代护理杂志》2025年第10期1293-1299,共7页Chinese Journal of Modern Nursing

基　　金：广东省中医药局科研项目(20232139);广东省医学科研基金(A2024061);广州市医学重点学科(2025一2027年)。

摘　　要：目的了解中青年男性精神分裂症患者保护性约束的心理体验。方法本研究为质性研究。采用目的抽样法,于2022年9—12月选取在广州医科大学附属脑科医院曾接受过保护性约束的中青年男性精神分裂症患者为受访者。通过半结构式访谈收集资料,应用Colaizzi 7步分析法分析资料。结果共访谈12例中青年男性精神分裂症患者,归纳出4个主题:(1)患者对保护性约束的态度;(2)患者在被保护性约束期间的情感体验;(3)患者在被保护性约束期间的身体体验;(4)患者在被保护性约束期间的需求。结论保护性约束为患者提供了急性期的安全保障,同时也带来了各种正性、负性的心理体验。精神科护士应掌握患者病情,动态评估风险等级,采取合适的约束用具,针对患者需求完善约束护理,同时积极寻求约束替代措施。Objective Understanding of the psychological experiences of young and middle-aged male patients with schizophrenia regarding protective restraints.Methods This study was qualitative study.Using purposive sampling,middle-aged and young male schizophrenia patients who had undergone protective restraints in the Affiliated Brain Hospital,Guangzhou Medical University were selected as participants from September to December 2022.Data were collected through semi-structured interviews and analyzed using Colaizzi 7-step analysis method.Results A total of 12 young and middle-aged male schizophrenic patients were interviewed,and four themes were summarized,including patients'attitudes toward protective restraints,patients'emotional experiences,patients'physical experiences,and patients'needs during protective restraints.Conclusions Protective restraints provide patients with safety in the acute phase,as well as a variety of positive and negative psychological experiences.Psychiatric nurses should grasp the patient's condition,dynamically assess the risk level,adopt appropriate restraint devices,improve restraint care based on the patient's needs,and actively seek alternative measures to restrain simultaneously.

关 键 词：精神分裂症 保护性约束 经历 心理感受 质性研究 

分 类 号：R47[医药卫生—护理学]