Abstract：
The use of physical restraint had caused a series of unexpected impacts on patients, particularly psychological trauma. This qualitative study aimed to identify perspectives on physical restraint among patients with mental health conditions and to seek effective interventions targeting the psychological trauma which is caused by physical restraint. A semi-structured interview was conducted in a public psychiatric hospital in China to explore perspectives on physical restraint among 26 patients who had undergone or witnessed physical restraint. The interview was conducted by experienced and qualified interviewers with mental health service backgrounds. The interviews were recorded and transcribed into words, and then preliminary themes were extracted and coded, finally thematic analysis was used to identify focused themes. Five themes were extracted: these were as follows: (1) The negative effects of physical restraint on patients; (2) The impairment of the relationship between nurse and patient due to physical restraint; (3) The decrease in patients\' treatment adherence caused by physical restraint; (4) The positive outcomes of physical restraint; (5) The expectations of patients for improving the quality of nursing care. Conclusively, the use of physical restraint had critical impacts on patients, including psychological trauma, destruction of the nurse-patient relationship, and decreased adherence of treatment. These negative effects could impede clinical work.
摘要：
身体约束的使用对患者造成了一系列意想不到的影响,特别是心理创伤。这项定性研究旨在确定精神健康状况患者对身体约束的看法，并寻求针对身体约束引起的心理创伤的有效干预措施。在中国一家公立精神病医院进行了半结构化访谈，以探讨26名经历或目睹身体约束的患者对身体约束的看法。面试由具有心理健康服务背景的经验丰富且合格的面试官进行。采访被记录下来并转录成文字，然后提取和编码初步的主题，最后使用主题分析来确定重点主题。提取了五个主题：（1）身体约束对患者的负面影响；（2）由于身体约束而导致的护士与患者之间关系的损害；（3）身体约束引起的患者治疗依从性降低；（4）身体约束的积极结果；（5）患者对提高护理质量的期望。最后，身体约束的使用对患者产生了至关重要的影响，包括心理创伤,破坏护患关系,治疗依从性下降。这些负面影响可能会阻碍临床工作。
