This observational study assesses whether the use of the QPGE has an impact on the rates of isolation and mechanical restraint in adult psychiatric admission units. It is supplemented by a qualitative survey that will collect the experience of caregivers using the QPGE.
The use of isolation and mechanical restraint in psychiatry has deleterious consequences for the patient. Caregivers also testify to their dissatisfaction with using these methods. The Coping Agreement Questionnaire (CAQ) is a form presented to the patient admitted to a psychiatric unit in the United States that has shown a significant effect on the reduction of coercive measures. It has been translated into French under the name Questionnaire Préventif de la Gestion des Emotions (QPGE). In France, the Haute Autorité de Santé has been recommending this type of tool since 2016 in the form of shared prevention plans to better prevent moments of violence. The main objective is to assess whether the use of a shared prevention plan based on the Preventive Emotions Management Questionnaire (QPGE) can reduce the rates of isolation measures and mechanical restraint in hospitalized people. in a sectoral admission unit receiving patients in care without consent.
Study Type
OBSERVATIONAL
Enrollment
416
The study will compare the rates of isolation and restraint of the two sectoral admission units welcoming people in care without consent for a period of one year. The impact of the QPGE on the satisfaction scores will be systematically evaluated by a self-questionnaire for patients at the end of hospitalization. The QPGE is administered by a nurse during the reception interview of the patient in the unit.
Centre Hospitalier Charles Perrens
Bordeaux, Gironde, France
Rate of isolation measures.(%)
Isolation and/or restraint notified in the registers dedicated to the monitoring of measures restricting liberty in the admission units during the study period
Time frame: up to 1 year
Rate of restraint measures.(%)
Isolation and/or restraint notified in the registers dedicated to the monitoring of measures restricting liberty in the admission units during the study period
Time frame: up to 1 year
Rate of isolation measures not associated with an episode of mechanical restraint (%)
Time frame: up to 1 year
Duration of isolation measures not associated with an episode of mechanical restraint. (hours)
Time frame: up to 1 year
Rate of mechanical restraint measures (%)
Time frame: up to 1 year
Duration of mechanical restraint measures (hours)
Time frame: up to 1 year
User satisfaction score at the end of hospitalization
Time frame: up to 1 year
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