Prevalence and risk factors of agitation in newly hospitalized schizophrenia patients in China: An observational survey

Mi, Weifeng; Zhang, Suzhen; Liu, Qi; Yang, Fang; Wang, Yong; Li, Tao; Mei, Qiyi; He, Hongbo; Chen, Zhiyu; Su, Zhonghua; Liu, Tiebang; Xie, Shusen; Tan, Qingrong; Zhang, Jinbei; Zhang, Congpei; Sang, Hong; Chen, Wenhao; Shi, Le; Li, Lingzhi; Shi, Ying; Guo, Lihua; Zhang, Hongyan; Lü, Lin

doi:10.1016/j.psychres.2017.02.065

Cited by 17 publications

(17 citation statements)

References 26 publications

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“…Nurses' recognition of agitation was guided by their 'experience' and clinical understanding of the behavioural and verbal symptoms of agitation in patients (e.g., excessive restlessness, non-purposeful physical activity, pacing and shouting) which have been documented elsewhere [8,22,23]. In addition, nurses recognised the need to develop an awareness of the patient's base level behaviour and unique signs of agitation as patients did vary in their experience and expression of agitation.…”

Section: Discussionmentioning

confidence: 99%

“…There is limited epidemiologic evidence on the prevalence of agitation in mental health settings. Estimates range between a high of 47.5% among newly hospitalised adults with schizophrenia in China [8] to a low of 4.6% among psychiatric emergency presentations in Europe [9]. This variation is due in part to the ongoing debate over a standardised de nition of agitation and the use of appropriate measurement scales to aid the assessment of agitation in the clinical setting [10].…”

Section: Introductionmentioning

confidence: 99%

“…They include psychiatric conditions such as schizophrenia and dementia; substance abuse (including legitimate use of medications); medical or physiologic disorders such as traumatic brain injury and drug toxicity [11]. Other risk factors for an episode of agitation among patients in a mental health setting include a pre-admission history of aggression and involuntary admission to hospital [4,8] and presenting as aggressive or impulsive at admission [8,12].…”

Section: Introductionmentioning

confidence: 99%

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Recognition and Management of Agitation in Acute Mental Health Services: A Qualitative Evaluation of Staff Perceptions

Tucker¹,

Whitehead

Palamara

et al. 2020

Preprint

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Background: Agitation among patients is a common and distressing behaviour across a variety of health care settings, particularly inpatient mental health. Unless recognised early and effectively managed it can lead to aggression and personal injury. The aim of this paper is to explore the experiences of mental health nurses in recognising and managing agitation in an inpatient mental health setting and the alignment of these experiences with best practice and person-centred care. Methods: This study used a qualitative cross-sectional descriptive methodology. Semi-structured focus group interviews were conducted with twenty-one nurses working in a mental health unit in 2018. Nursing staff described their experiences of assessing and managing agitation. Descriptive and Thematic Analysis were undertaken of the transcribed focus group dialogue. Results: Nurses combined their clinical knowledge, assessment protocols and training with information from patients to make an individualised assessment of agitation. Nurses also adopted an individualised approach to management by engaging patients in decisions about their care. In keeping with best practice recommendations, de-escalation strategies were the first choice option for management, though nurses also described using both coercive restraint and medication under certain circumstances. From the perspective of patient-centred care, the care provided aligned with elements of person-centred care nursing care.Conclusion: The findings suggest that clinical mental health nurses assess and manage agitation, with certain exceptions, in line with best practice and a person-centred care nursing framework.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Recognition and Management of Agitation in Acute Mental Health Services: A Qualitative Evaluation of Staff Perceptions

Tucker¹,

Whitehead

Palamara

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…There is limited epidemiologic evidence on the prevalence of agitation in mental health settings. Estimates range between a high of 47.5% among newly hospitalised adults with schizophrenia in China [ 8 ] to a low of 4.6% among psychiatric emergency presentations in Europe [ 9 ]. This variation is due in part to the ongoing debate over a standardised definition of agitation and the use of appropriate measurement scales to aid the assessment of agitation in the clinical setting [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…They include psychiatric conditions such as schizophrenia and dementia; substance abuse (including legitimate use of medications); medical or physiologic disorders such as traumatic brain injury and drug toxicity [ 11 ]. Other risk factors for an episode of agitation among patients in a mental health setting include a pre-admission history of aggression and involuntary admission to hospital [ 4 , 8 ] and presenting as aggressive or impulsive at admission [ 8 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Recognition and management of agitation in acute mental health services: a qualitative evaluation of staff perceptions

et al. 2020

View full text Add to dashboard Cite

Background Agitation among patients is a common and distressing behaviour across a variety of health care settings, particularly inpatient mental health. Unless recognised early and effectively managed it can lead to aggression and personal injury. The aim of this paper is to explore the experiences of mental health nurses in recognising and managing agitation in an inpatient mental health setting and the alignment of these experiences with best practice and person-centred care. Methods This study used a descriptive qualitative methodology. Semi-structured focus group interviews were conducted with 20 nurses working in a mental health unit in 2018. Nursing staff described their experiences of assessing and managing agitation. Descriptive and Thematic Analysis were undertaken of the transcribed focus group dialogue. Results Nurses combined their clinical knowledge, assessment protocols and training with information from patients to make an individualised assessment of agitation. Nurses also adopted an individualised approach to management by engaging patients in decisions about their care. In keeping with best practice recommendations, de-escalation strategies were the first choice option for management, though nurses also described using both coercive restraint and medication under certain circumstances. From the perspective of patient-centred care, the care provided aligned with elements of person-centred care nursing care. Conclusion The findings suggest that clinical mental health nurses assess and manage agitation, with certain exceptions, in line with best practice and a person-centred care nursing framework.

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Unmet Needs in the Assessment and Treatment of Psychomotor Agitation

Cuomo

Bolognesi

Goracci

et al. 2020

New Directions in Psychiatry

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Prevalence and risk factors of agitation in newly hospitalized schizophrenia patients in China: An observational survey

Cited by 17 publications

References 26 publications

Recognition and Management of Agitation in Acute Mental Health Services: A Qualitative Evaluation of Staff Perceptions

Recognition and Management of Agitation in Acute Mental Health Services: A Qualitative Evaluation of Staff Perceptions

Recognition and management of agitation in acute mental health services: a qualitative evaluation of staff perceptions

Unmet Needs in the Assessment and Treatment of Psychomotor Agitation

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