摘要目的:了解情感性精神障碍患者住院期间保护性约束的现状。方法:采用自制的调查问卷于2018年11月—2019年4月对北京市某精神病医院的400例恢复期情感障碍患者进行调查。结果:400例情感障碍患者中，158例有约束经历，保护性约束发生率为39.50%；保护性约束造成的躯体影响中，肢体活动受限147例（93.03%），不能自行二便133例（84.17%），肢体疼痛88例（55.69%）；保护性约束造成的心理影响中，无助83例（52.53%），委屈82例（51.89%），无能为力78例（49.37%），恐惧、担心68例（43.04%）。有保护性约束经历、目睹过保护性约束以及未接触过保护性约束的患者在年龄、性别、婚姻状况、住院次数以及住院诊断方面差异有统计学意义（ P<0.05）。 结论:情感性精神障碍患者保护性约束率较高，患者在保护性约束过程中及约束后出现的躯体影响和负性心理体验对于医患治疗联盟的建立是一种潜在威胁。应加强对住院患者进行关于保护性约束相关知识的健康教育，为保护性约束的患者提供更全面的健康教育、护理措施、心理干预，以期改善情感性精神障碍患者对保护性约束的错误认知及减少保护性约束对患者造成的消极体验及负性心理影响。

abstractsObjective:To explore the current status of protective restraint during hospitalization in patients with affective disorders.Methods:A self-made questionnaire was used to investigate 400 patients with convalescent affective disorder in a psychiatric hospital in Beijing from November 2018 to April 2019.Results:Among 400 patients with affective disorders, 158 cases had restraint experience, and the incidence of protective restraint was 39.50%. Among the physical influences caused by protective restraint, 147 cases (93.03%) of limb movement were restricted, 133 cases (84.17%) were unable to defecate on their own, and 88 cases (55.69%) had limb pain. Among the psychological influences caused by protective restraint, 83 cases (52.53%) were helpless, 82 cases (51.89%) were aggrieved, 78 cases (49.37%) were powerless and 68 cases (43.04%) were fearful. There were statistically significant differences in age, gender, marital status, number of hospitalizations, and hospitalization diagnosis among patients with protective restraint experience, witnessed protective restraint and never exposed to protective restraint ( P<0.05) . Conclusions:Patients with affective disorders have a high rate of protective restraint. The physical influence and negative psychological experience of patients during and after the protective restraint is a potential threat to the establishment of the doctor-patient treatment alliance. Health education of protective restraint knowledge should be strengthened for inpatients, and comprehensive health education, nursing measures, and psychological interventions should be provided for protective restraint patients, so as to improve the misunderstanding of protective restraint in patients with affective disorders and reduce the negative experience and psychological influences of protective restraint in patients.