Use of physical restraints among patients with bipolar disorder in Ethiopian Mental Specialized Hospital, outpatient department: cross-sectional study

Belete, Habte

doi:10.1186/s40345-017-0084-6

Cited by 9 publications

(9 citation statements)

References 29 publications

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“…In other words, we should focus on the quality of health care in applying physical restraint on psychiatric patients. Comparing the rate of physical restraint use among psychiatric patients shows that physical restraint is used far more frequently in developing countries than in developed countries [ 40 , 41 , 42 ]. Thus, this issue of health care inequity and the infringement of individuals’ freedom should be carefully considered in the use of physical restraint.…”

Section: Discussionmentioning

confidence: 99%

A New Perspective on Human Rights in the Use of Physical Restraint on Psychiatric Patients-Based on Merleau-Ponty’s Phenomenology of the Body

2021

IJERPH

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(1) Background: Physical restraint in psychiatric settings must be determined by health care professionals for ensuring their patients’ safety. However, when a patient cannot participate in the process of deciding what occurs in their own body, can they even be considered as a personal self who lives in and experiences the lifeworld? The purpose of this study is to review the existential capability of the body from Merleau-Ponty’s phenomenology to explore ways of promoting human rights in physical restraint. (2) Methods: A philosophical reflection was contemplated regarding notions of the body’s phenomenology. (3) Results: Merleau-Ponty’s body phenomenology can explain bodily phenomena as a source of the personal subject, who perceives and acts in the world, and not as a body alienated from the subject in health and illness. Patients, when they are physically restrained, cannot be the self as a subject because their body loses its subjecthood. They are entirely objectified, becoming objects of diagnosis, protection, and control, according to the treatment principles of health care professionals. (4) Conclusions: The foundation of human rights, human being’s dignity lies in the health professionals’ genuine understanding and response to the existential crisis of the patient’s body in relation to its surrounding environment.

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Section: Discussionmentioning

confidence: 99%

A New Perspective on Human Rights in the Use of Physical Restraint on Psychiatric Patients-Based on Merleau-Ponty’s Phenomenology of the Body

2021

IJERPH

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“…We identified 15 eligible publications reporting 13 unique RCTs of olanzapine and seven eligible publications reporting five unique RCTs of olanzapine with a mood stabilizer for acute mania with at least 3 weeks followup. 25,26,31,33,34,[44][45][46][60][61][62][63][64][65][66][67][68][69][70][71][72] Five were assessed as low risk of bias, five as moderate, and eight as high. Fourteen studies reported being funded by industry.…”

Section: Olanzapinementioning

confidence: 99%

“…Evidence was insufficient for all outcomes from three RCTs (n=210) to address whether olanzapine was better for acute mania than lithium in adults with presumed BD-I, due to moderate study limitations, inconsistency, and imprecision. 60,61,64 The studies reported mixed results for response, mania symptom improvement (YMRS), or CGI. Withdrawals and adverse events tended to show no differences between groups.…”

Section: Olanzapine Alone Versus Active Controlmentioning

confidence: 99%

Treatment for Bipolar Disorder in Adults: A Systematic Review

Butler¹,

Urošević²,

Desai³

et al. 2018

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Purpose of Review• To assess the effectiveness of drug and nondrug therapies for treating acute mania or depression symptoms and preventing relapse in adults with bipolar disorder (BD) diagnoses, including bipolar I disorder (BD-I), bipolar II disorder (BD-II), and other types. Key Messages• Acute mania treatment: Lithium, asenapine, cariprazine, olanzapine, quetiapine, risperidone, and ziprasidone may modestly improve acute mania symptoms in adults with BD-I. Participants on atypical antipsychotics, except for quetiapine, reported more extrapyramidal symptoms, and those on olanzapine reported more weight gain, compared with placebo. • Maintenance treatment: Lithium may prevent relapse into acute episodes in adults with BD-I. • Depression treatment: Evidence was insufficient for drug treatments for depressive episodes in adults with BD-I and BD-II. • For adults with any BD type, cognitive behavioral therapy may be no better than other psychotherapies for improving acute bipolar symptoms and systematic/collaborative care may be no better than other behavioral therapies for preventing relapse of any acute symptoms. • Stronger conclusions were prevented by high rates of participants dropping out.This report is made available to the public under the terms of a licensing agreement between the author and the Agency for Healthcare Research and Quality. This report may be used and reprinted without permission except those copyrighted materials that are clearly noted in the report. Further reproduction of those copyrighted materials is prohibited without the express permission of copyright holders. AHRQ or U.S. Department of Health and Human Services endorsement of any derivative products that may be developed from this report, such as clinical practice guidelines, other quality enhancement tools, or reimbursement or coverage policies, may not be stated or implied. This report may periodically be assessed for the currency of conclusions. If an assessment is done, the resulting surveillance report describing the methodology and findings will be found on the Effective Health Care Program Web site at www.effectivehealthcare.ahrq.gov. Search on the title of the report.

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“…The use of coercive measures is more prevalent in psychiatric settings as the nurses try to control aggressive mentally ill patients from hurting themselves or others 1 . The literature revealed that the misuse of coercive measures might exacerbate psychotic symptoms 2 . Gunawardena and Smithard 3 defined the misuse of coercive measures as the use of restraint or seclusion that go beyond preventing harm to oneself or others.…”

Section: Introductionmentioning

confidence: 99%

Correlates of psychiatric staff's attitude toward coercion and their sociodemographic characteristics

Al-Maraira

Hayajneh

2020

Nurs Forum

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Background A deeper understanding of the nurses’ characteristics that influence their positive attitudes toward coercion is necessary if coercive measures rates are to be effectively reduced. Aim To identify the difference in psychiatric staff attitudes toward coercive measures in relation to their sociodemographic characteristics. Setting The study conducted at the National Center for Mental Health, which is regulated under the authority of the Jordanian Ministry of Health. Participants A total of 85 psychiatric staff recruited from the National Center for Mental Health. Methods A cross‐sectional, descriptive, correlational design was used. Data were collected using a self‐administered questionnaire, which consisted of 15 items that focused on assessing a staff's attitude toward coercion. Results The relationship between clinical unit and attitude toward coercion was significant (r = −.30; P = .006). Similarly, the correlations between gender‐based units and attitudes toward coercion were significant (r = −.38; P = .002). Another significant correlation was revealed with different years of experience (r = .22; P = .04). Conclusion The more years of experience in the field of psychiatric nursing the more positive attitude toward coercion. Moreover, working with male psychiatric patients and in acute psychiatric units increase the risk of coercive measures use.

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Use of physical restraints among patients with bipolar disorder in Ethiopian Mental Specialized Hospital, outpatient department: cross-sectional study

Cited by 9 publications

References 29 publications

A New Perspective on Human Rights in the Use of Physical Restraint on Psychiatric Patients-Based on Merleau-Ponty’s Phenomenology of the Body

A New Perspective on Human Rights in the Use of Physical Restraint on Psychiatric Patients-Based on Merleau-Ponty’s Phenomenology of the Body

Treatment for Bipolar Disorder in Adults: A Systematic Review

Correlates of psychiatric staff's attitude toward coercion and their sociodemographic characteristics

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