{"id":4209,"date":"2024-05-14T17:18:02","date_gmt":"2024-05-14T17:18:02","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=4209"},"modified":"2025-07-14T20:25:21","modified_gmt":"2025-07-14T18:25:21","slug":"psykiatriske-patienters-opfattelse-af-hvilke-tvangsforanstaltninger-der-er-mindst-indgribende-et-integrativt-review","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/05\/14\/psykiatriske-patienters-opfattelse-af-hvilke-tvangsforanstaltninger-der-er-mindst-indgribende-et-integrativt-review\/","title":{"rendered":"Psykiatriske patienters opfattelse af hvilke tvangsforanstaltninger der er mindst indgribende: et integrativt review"},"content":{"rendered":"

\"\"<\/p>\n

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

Reference: Lindekilde, C. R., Pedersen, M. L., Birkeland, S. F., Hvidhjelm, J., Baker, J., & Gildberg, F. A. (2024). Mental health patients’ preferences regarding restrictive interventions: An integrative review. Journal of Psychiatric and Mental Health Nursing, 00, 1\u201316. <\/span>https:\/\/doi.org\/10.1111\/jpm.13057<\/a><\/p>\n

Indledning
\n<\/span><\/strong>Forskningslitteraturen beskriver brugen af tvangsforanstaltninger i psykiatrien som en overtr\u00e6delse af patienters rettigheder, og den p\u00e5peger, at s\u00e5danne foranstaltninger kan for\u00e5rsage b\u00e5de fysisk og psykisk skade p\u00e5 patienterne. Lovgivning p\u00e5 det psykiatriske omr\u00e5de foreskriver, at n\u00e5r tvangsforanstaltninger anvendes, skal den mindst indgribende tvangsforanstaltning anvendes. I en dansk kontekst refereres der ofte til anvendelse af \u201dmindste-middels-princippet\u201d. Der er dog ikke enighed om, hvad der udg\u00f8r den mindst indgribende tvangsforanstaltning, is\u00e6r ikke set fra et patientperspektiv. Derfor unders\u00f8gte vi hvilke tvangsforanstaltninger psykiatriske patienter betragter som mindst indgribende.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Systematisk litteraturunders\u00f8gelse i seks videnskabelige databaser. Tematisk analyse blev anvendt til at analysere data.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>I studiet blev 30 kvalitative (n=10) og kvantitative (n=20) studier blev inkluderet. I disse studier fandt vi, at majoriteten af patienterne ans\u00e5 personlig sk\u00e6rmning for mindst indgribende, mens b\u00e6ltefiksering blev opfattet som den mest indgribende tvangsforanstaltning. Den tematiske analyse identificerede, at fysiske forhold i milj\u00f8et, kommunikation og varighed af tvang p\u00e5virkede patienternes opfattelse af, hvor indgribende tvang var, og derved p\u00e5virker hvilke tvangsforanstaltninger de opfatter som mindst indgribende.<\/span><\/p>\n

Diskussion
\n<\/span><\/strong>Der er manglende enighed om, hvordan vi ensartet kan unders\u00f8ge, hvilke tvangsforanstaltninger patienterne opfatter som mindst indgribende, og dermed hvilke tvangsforanstaltninger psykiatriske patienter foretr\u00e6kker. Denne mangel p\u00e5 standardisering komplicerer anvendelse af mindste-middels-princippet i praksis. Ikke desto mindre viser resultaterne i dette studie, at personalet b\u00f8r overveje fysiske forhold i milj\u00f8et, kommunikation og varighed af tvang, n\u00e5r den sidste udvej er at anvende tvangsforanstaltninger.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>F\u00f8rst og fremmest understreger dette studie, at anvendelsen af tvangsforanstaltninger er et multidimensionelt og meget komplekst f\u00e6nomen. Der er behov for mere forskning om patienters opfattelse af indgribenhed i relation til tvangsforanstaltninger og mindste-middels- princippet. Men f\u00f8rst b\u00f8r der opn\u00e5s enighed om en standardisering af, hvordan vi unders\u00f8ger, hvilke tvangsforanstaltninger der opfattes som mindst indgribende.<\/span><\/p>\n

Camilla Lindekilde,<\/span> Ph.d.-studerende, BaP., Cand. Scient. camilla.rosendal.lindekilde@rsyd.dk<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Forskningslitteraturen beskriver brugen af tvangsforanstaltninger i psykiatrien som en overtr\u00e6delse af patienters rettigheder, og den p\u00e5peger, at s\u00e5danne foranstaltninger kan for\u00e5rsage b\u00e5de fysisk og psykisk skade p\u00e5 patienterne<\/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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