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Frequency of Physical Restraint and Its Associations With Demographic and Clinical Characteristics in a Chinese Psychiatric Institution
Author(s) -
Zhu XiaoMin,
Xiang YuTao,
Zhou JianSong,
Gou Lei,
Himelhoch Seth,
Ungvari Gabor S.,
Chiu Helen F. K.,
Lai Kelly Y. C.,
Wang XiaoPing
Publication year - 2014
Publication title -
perspectives in psychiatric care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.538
H-Index - 35
eISSN - 1744-6163
pISSN - 0031-5990
DOI - 10.1111/ppc.12049
Subject(s) - odds ratio , confidence interval , medicine , logistic regression , psychiatry , mood , medical record , demography , sociology
Purpose Physical restraint ( PR ) is a highly controversal topic in psychiatry. Little is known about PR among psychiatric inpatients in C hina. This study examined the frequency of PR and its relationships with demographic and clinical characteristics among a large psychiatric institution in the H unan Province, C hina. Design and Methods The study included a consecutively assessed sample of 160 psychiatric inpatients. Sociodemographic and clinical data including use of PR were collected from the medical records using a form designed for this study and confirmed via interview. Findings The frequency of PR was 51.3% in the whole sample; 63.2% among female and 39.2% among male patients. In multiple logistic regression analysis PR was independently associated with male gender ( p = 0.001, odds ratio [ OR ] = 0.2, 95% confidence interval [ CI ] 0.1–0.6), less outpatient treatment prior to admission ( p = 0.03, OR = 0.3, 95% CI 0.1–0.9), more frequent use of mood stabilizers ( p = 0.002, OR = 5.6, 95% CI 1.9–16.7), more aggressive behavior prior to admission ( p = 0.002, OR = 1.1, 95% CI 1.04–1.2), and younger age ( p = 0.04, OR = 0.97, 95% CI 0.93–0.99). Practice Implications PR is very common in clinical practice in C hina. Its demographic and clinical correlates are similar to findings in Western settings.