Use of Physical Restraints Among Patients with Bipolar Disorder in Ethiopian Mental Specialized Hospital, Outpatient Department: Cross-sectional Study

Overview

Journal Int J Bipolar Disord

Date 2017 Mar 24

PMID 28332124

Citations 1

Authors

Habte Belete

Affiliations

Soon will be listed here.

Abstract

Background: Even though United Nation announced that all persons with a mental illness shall be treated with humanity and respect for the inherent dignity of the human being, up to now, the use of coercion (physical restrain) is still considered as unavoidable in managing abnormal behavior of psychiatric patients. But, there is no information regarding the magnitude and contributing factors of physical restrain among bipolar patients in low-income countries like Ethiopia.

Methods: A cross-sectional study was conducted at Amanuel Mental Specialized Hospital from May 1 to June 1, 2015 among 400 participants who were selected by systematic random sampling technique. Data were collected by interviewing; adjusted odd ratios (AOR) with 95% confidence intervals (CI) were used and p value <0.05 was considered as statistically significant.

Results: The prevalence of physical restrain was 65%. Factors like, having two or more episodes [AOR = 1.84 95% CI (1.16, 2.93)], history of aggression [AOR = 2.14, 95% CI (1.26, 3.63)], comorbid illness [AOR = 1.76, 95% CI (1.26, 3.63)], use of antipsychotic [AOR = 1.79, 95% CI (1.08, 2.95)] and current use of Khat [AOR = 1.83, 95% CI (1.10, 3.04)] were associated significantly.

Conclusions: The prevalence of physical restraint is found high among bipolar patients and it needs public health attention.

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References

Moghadam M, Fallahi Khoshknab M, Pazargadi M . Psychiatric Nurses' Perceptions about Physical Restraint; A Qualitative Study. Int J Community Based Nurs Midwifery. 2014; 2(1):20-30. PMC: 4201183. View

Raja M, Azzoni A . Hostility and violence of acute psychiatric inpatients. Clin Pract Epidemiol Ment Health. 2005; 1:11. PMC: 1188062. DOI: 10.1186/1745-0179-1-11. View

McSherry B . The legal regulation of seclusion and restraint in mental health facilities. J Law Med. 2014; 21(2):251-4. View

Cohen S, Kamarck T, Mermelstein R . A global measure of perceived stress. J Health Soc Behav. 1983; 24(4):385-96. View

Kallert T, Glockner M, Onchev G, Raboch J, Karastergiou A, Solomon Z . The EUNOMIA project on coercion in psychiatry: study design and preliminary data. World Psychiatry. 2006; 4(3):168-72. PMC: 1414770. View

Humeniuk R, Ali R, Babor T, Farrell M, Formigoni M, Jittiwutikarn J . Validation of the Alcohol, Smoking And Substance Involvement Screening Test (ASSIST). Addiction. 2008; 103(6):1039-47. DOI: 10.1111/j.1360-0443.2007.02114.x. View

McCann T, Baird J, Muir-Cochrane E . Attitudes of clinical staff toward the causes and management of aggression in acute old age psychiatry inpatient units. BMC Psychiatry. 2014; 14:80. PMC: 3974596. DOI: 10.1186/1471-244X-14-80. View

Husum T, Bjorngaard J, Finset A, Ruud T . A cross-sectional prospective study of seclusion, restraint and involuntary medication in acute psychiatric wards: patient, staff and ward characteristics. BMC Health Serv Res. 2010; 10:89. PMC: 2858144. DOI: 10.1186/1472-6963-10-89. View

Kaltiala-Heino R, Korkeila J, Tuohimaki C, Tuori T, Lehtinen V . Coercion and restrictions in psychiatric inpatient treatment. Eur Psychiatry. 2000; 15(3):213-9. DOI: 10.1016/s0924-9338(00)00223-6. View

10.

Needham I, Abderhalden C, Dassen T, Haug H, Fischer J . Coercive procedures and facilities in Swiss psychiatry. Swiss Med Wkly. 2002; 132(19-20):253-8. DOI: 10.4414/smw.2002.09926. View

11.

Morisky D, Ang A, Krousel-Wood M, Ward H . Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens (Greenwich). 2008; 10(5):348-54. PMC: 2562622. DOI: 10.1111/j.1751-7176.2008.07572.x. View

12.

Luk E, Sneyers B, Rose L, Perreault M, Williamson D, Mehta S . Predictors of physical restraint use in Canadian intensive care units. Crit Care. 2014; 18(2):R46. PMC: 4075126. DOI: 10.1186/cc13789. View

13.

Garno J, Gunawardane N, Goldberg J . Predictors of trait aggression in bipolar disorder. Bipolar Disord. 2008; 10(2):285-92. DOI: 10.1111/j.1399-5618.2007.00489.x. View

14.

Johansson I, LUNDMAN B . Patients' experience of involuntary psychiatric care: good opportunities and great losses. J Psychiatr Ment Health Nurs. 2002; 9(6):639-47. DOI: 10.1046/j.1365-2850.2002.00547.x. View

15.

Minas H, Diatri H . Pasung: Physical restraint and confinement of the mentally ill in the community. Int J Ment Health Syst. 2008; 2(1):8. PMC: 2442049. DOI: 10.1186/1752-4458-2-8. View

16.

Brophy L, Roper C, Hamilton B, Tellez J, McSherry B . Consumers and Carer perspectives on poor practice and the use of seclusion and restraint in mental health settings: results from Australian focus groups. Int J Ment Health Syst. 2016; 10:6. PMC: 4744440. DOI: 10.1186/s13033-016-0038-x. View

17.

Hadi F, Khosravi T, Shariat S, Jalali Nadoushan A . Predictors of physical restraint in a psychiatric emergency setting. Med J Islam Repub Iran. 2016; 29:296. PMC: 4764265. View

18.

Steinert T, Lepping P, Bernhardsgrutter R, Conca A, Hatling T, Janssen W . Incidence of seclusion and restraint in psychiatric hospitals: a literature review and survey of international trends. Soc Psychiatry Psychiatr Epidemiol. 2009; 45(9):889-97. DOI: 10.1007/s00127-009-0132-3. View

19.

Khastgir U, Kala A, Goswami U, Kumar S, Behera D . The nature and extent of the use of physical restraint and seclusion in psychiatric practice: Report of a survey. Indian J Psychiatry. 2011; 45(3):155-7. PMC: 2952160. View

20.

Katsakou C, Bowers L, Amos T, Morriss R, Rose D, Wykes T . Coercion and treatment satisfaction among involuntary patients. Psychiatr Serv. 2010; 61(3):286-92. DOI: 10.1176/ps.2010.61.3.286. View