정신과 입원환자의 보호실 이용에 관한 고찰

The Use of Seclusion Room in Psychiatic Inpatients

This study was designed to investigate the contem porary use of seclusion of psychiatric inpatients. All seclusion patients who had been admitted to the department of neuropsychiatry of Yoido St. Mary’ s Hospital, Catholic Medical College during 1979 were included in this study. The charts of these patients were reviewed with regard to some aspects of the use of seclusion. The results were as follow s: 1. Seclusion was used at some point during hospitalization of 106 patients (19. 5%) in a total of 545 patients. 2. Almost half of the patients were in their twenties. 3. More than one half of the patients (58.5%) were diagnosed as schizophrenia. 4. “Behavior disruptive to the therapeutic environment” (31.0%) was the most common reason for seclusion. The rest of the reasons were “threatening to others” (24.0% ), “damage to properties” (15.5% ), “actual physical assault” (11.3% ), “suicidal risk” (8.5% ) in that order. 5. The number of times that seclusion was used ranged from 1 to 6. Seventyone patients (66.9% ) were placed once in seclusion. 6. The decision to seclude was made on the day of admission in 30.4% of total cases. It was made mostly until the 7th day. 7. Seclusion was initiated most frequently between 10 PM and 2 AM (42.1% ). 8. As for duration, seclusion was terminated in 24 hours in 72.5% of total cases.