{"id":1247,"date":"2024-01-30T16:00:27","date_gmt":"2024-01-30T16:00:27","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=1247"},"modified":"2025-07-14T19:46:28","modified_gmt":"2025-07-14T17:46:28","slug":"flere-forskellige-evidensbaserede-interventioner-kan-reducere-baade-forekomsten-og-eller-varigheden-af-baeltefiskering","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/01\/30\/flere-forskellige-evidensbaserede-interventioner-kan-reducere-baade-forekomsten-og-eller-varigheden-af-baeltefiskering\/","title":{"rendered":"Flere forskellige evidensbaserede interventioner kan reducere b\u00e5de forekomsten og\/eller varigheden af b\u00e6ltefiksering"},"content":{"rendered":"

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Download som PDF<\/a><\/p>\n<\/div>\n

Pedersen ML, Gildberg FA, Baker J, Tingleff EB. A systematic review of interventions to reduce mechanical restraint in adult mental health inpatient settings. Int J Ment Health Nurs. 2023. doi: 10.1111\/inm.13267<\/a><\/span><\/p>\n

Introduktion
\n<\/span><\/strong>Brugen af b\u00e6ltefiksering er en udbredt tvangsforanstaltning i psykiatrien. Ikke desto mindre er det b\u00e5de i Danmark og internationalt en prioritet at reducere psykiatrisk tvang, herunder b\u00e6ltefiksering. For at opn\u00e5 dette m\u00e5l er der behov for evidensbaserede interventioner, der kan reducere brugen af b\u00e6ltefiksering. Form\u00e5let med denne systematiske litteraturgennemgang var derfor at unders\u00f8ge evaluerede interventioner, der sigter mod at reducere forekomsten og\/eller varigheden af b\u00e6ltefiksering hos indlagte patienter i voksenpsykiatrien.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Denne systematiske litteraturgennemgang blev udf\u00f8rt i overensstemmelse med retningslinjer fra JBI. Inkluderede studier var peer-reviewed og prim\u00e6r forskningslitteratur, som var publiceret i perioden 1999 og 2023. S\u00f8gestrategien blev udf\u00f8rt af to forskere, der uafh\u00e6ngigt gennemgik processerne for den systematiske s\u00f8gning, udv\u00e6lgelse af relevant litteratur og dataudtr\u00e6kning.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>I alt blev 41 studier inkluderet i denne gennemgang. Ved hj\u00e6lp af indholdsanalyse blev interventionerne kategoriseret i fire hovedgrupper: 1. Beroligende metoder, 2. Personalem\u00e6ssige ressourcer, 3. Juridiske og politiske \u00e6ndringer og 4. \u00c6ndringer i personalekulturen.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Interventioner, der sigter mod at reducere brugen af b\u00e6ltefiksering i voksenpsykiatrien, har vist lovende resultater. Forskningslitteraturen tyder p\u00e5, at flere forskellige evidensbaserede interventioner kan reducere b\u00e5de forekomsten og\/eller varigheden af b\u00e6ltefiskering. Dog mangler der visse relevante studietyper, herunder kontrollerede fors\u00f8g. Derudover mangler der enighed p\u00e5 tv\u00e6rs af studierne, is\u00e6r med hensyn til de konkrete resultater og rapporteringsmetoderne, hvilket komplicerer forst\u00e5elsen og udviklingen af fremtidige interventioner for at tackle dette problem. Yderligere forskning er derfor n\u00f8dvendig for at styrke evidensgrundlaget og reducere brugen af b\u00e6ltefiksering hos indlagte patienter i voksenpsykiatrien.<\/span><\/p>\n

Implikationer for praksis<\/span> 
\n<\/span><\/strong>Psykiatrien b\u00f8r overveje implementeringen af de evaluerede interventioner, is\u00e6r dem der har vist sig at reducere b\u00e5de fremkomsten og varigheden af b\u00e6ltefiksering. Dette kan optimere ressourceforbruget, men ogs\u00e5 forbedre patientbehandlingen. Samtidig b\u00f8r opm\u00e6rksomheden rettes mod manglerne ved litteraturen. Forskere og praktikere b\u00f8r udforske og evaluere nye interventioner for at forbedre det samlede evidensgrundlag.<\/span><\/p>\n

Projektet er st\u00f8ttet med en bevilling fra Novo Nordisk Fonden (NNF22OC0080419)<\/span><\/p>\n

Martin Locht Pedersen. Sygeplejerske, Cand.cur., Ph.d.-studerende, Retspsykiatrisk Forskningsenhed Middelfart, Institut for Regional Sundhedsforskning, Syddansk Universitet & Psykiatrisk Afdeling Middelfart, Psykiatrien i Region Syddanmark. martin.locht.pedersen@rsyd.dk<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Brugen af b\u00e6ltefiksering er en udbredt tvangsforanstaltning i psykiatrien. Ikke desto mindre er det b\u00e5de i Danmark og internationalt en prioritet at reducere psykiatrisk tvang, herunder b\u00e6ltefiksering. For at opn\u00e5 dette m\u00e5l er der behov for evidensbaserede interventioner, der kan reducere brugen af b\u00e6ltefiksering. Form\u00e5let med denne systematiske litteraturgennemgang var derfor at unders\u00f8ge evaluerede interventioner, der sigter mod at reducere forekomsten og\/eller varigheden af b\u00e6ltefiksering hos indlagte patienter i voksenpsykiatrien.<\/p>\n","protected":false},"author":2,"featured_media":12678,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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