{"id":2911,"date":"2024-03-10T20:35:45","date_gmt":"2024-03-10T20:35:45","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=2911"},"modified":"2025-07-14T20:25:21","modified_gmt":"2025-07-14T18:25:21","slug":"personalets-holdninger-og-reaktioner-paa-interventionsstrategier-til-reduktion-af-baeltefiksering-i-voksenpsykiatrien-kan-vaere-afgoerende","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/03\/10\/personalets-holdninger-og-reaktioner-paa-interventionsstrategier-til-reduktion-af-baeltefiksering-i-voksenpsykiatrien-kan-vaere-afgoerende\/","title":{"rendered":"Personalets holdninger og reaktioner p\u00e5 interventionsstrategier til reduktion af b\u00e6ltefiksering i voksenpsykiatrien kan v\u00e6re afg\u00f8rende"},"content":{"rendered":"

\"\"<\/p>\n

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

Pedersen ML, Gildberg FA, Bogh SB, Birkeland S, Tingleff EB. Staff responses to interventions aiming to reduce mechanical restraint in adult mental health inpatient settings: a questionnaire-based survey. Nordic Journal of Psychiatry. 2024. <\/span>DOI: 10.1080\/08039488.2024.2323125<\/a><\/p>\n

Introduktion
\n<\/span><\/strong>Brugen af b\u00e6ltefiksering i psykiatrien til h\u00e5ndtering af voldelig og aggressiv adf\u00e6rd er udbredt. Dog er det ogs\u00e5 en meget kontroversiel praksis med mange potentielt negative konsekvenser for b\u00e5de patienter og personale. Som f\u00f8lge heraf er reduktion af b\u00e6ltefiksering en psykiatrisk prioritet. Form\u00e5let med denne sp\u00f8rgeskemaunders\u00f8gelse var derfor at unders\u00f8ge personalets reaktioner p\u00e5 og holdninger til interventioner, der var designet til at reducere brugen af b\u00e6ltefiksering p\u00e5 voksenpsykiatriske afdelinger.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Et tv\u00e6rsnitsstudie blev udf\u00f8rt baseret p\u00e5 et online sp\u00f8rgeskema, tilg\u00e6ngeligt via dataindsamlingsv\u00e6rkt\u00f8jet REDCap. Sp\u00f8rgeskemaet pr\u00e6senterede 20 interventioner, designet til at mindske brugen af b\u00e6ltefiksering i voksenpsykiatrien. Deltagerne blev bedt om at vurdere og rangere interventionerne ud fra deres eget opfattelse af hver interventions relevans og vigtighed i relation til reduktion af b\u00e6ltefiksering.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>128 personalemedlemmer fra Region Syddanmark deltog i sp\u00f8rgeskemaunders\u00f8gelsen og repr\u00e6senterede en bred vifte af almen- og retspsykiatriske afdelinger for voksenpsykiatriske patienter. <\/span>I alt var 90,8% \u2019enige\u2019 eller \u2019meget enige\u2019 i interventionernes relevans vedr\u00f8rende reduktion af b\u00e6ltefiksering. Interventionerne \u2019relationsarbejde\u2019 og \u2019patientkendskab\u2019 scorede generelt h\u00f8jt, n\u00e5r personalet rangerede vigtigheden af interventionerne i forhold til implementeringsr\u00e6kkef\u00f8lgen. I denne sammenh\u00e6ng var interventionerne \u2019p\u00e5r\u00f8rende\u2019 og \u2019standardiserede vurderinger\u2019 eksempler p\u00e5 interventioner, der generelt scorede lavt.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Set fra personalets perspektiv var interventionerne generelt relevante. Rangering af interventionerne vedr\u00f8rende vigtighed var konsistent p\u00e5 tv\u00e6rs af de forskellige dataopdelinger, hvor der blandt visse grupper blev registreret en vis variation og spredning.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Resultaterne af denne unders\u00f8gelse indikerer, at implementering af interventioner s\u00e5som \u2019relationsarbejde\u2019 og \u2019patientkendskab\u2019 kan udg\u00f8re afg\u00f8rende elementer i udviklingen af en succesfuld strategi til reduktion af b\u00e6ltefiksering i voksenpsykiatrien. Samtidig antyder resultaterne ogs\u00e5, at andre interventioner ikke anses som lige s\u00e5 relevante for personalet, hvilket b\u00f8r v\u00e6re et prim\u00e6rt fokuspunkt og noget der tages h\u00f8jde for under implementeringen.<\/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 i psykiatrien til h\u00e5ndtering af voldelig og aggressiv adf\u00e6rd er udbredt. Dog er det ogs\u00e5 en meget kontroversiel praksis med mange potentielt negative konsekvenser for b\u00e5de patienter og personale. Som f\u00f8lge heraf er reduktion af b\u00e6ltefiksering en psykiatrisk prioritet.<\/p>\n","protected":false},"author":4,"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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