精神科病房强制性护理干预潜在的法律问题及管理对策

The potential legal issues about mandatory nursing intervention and the strategies of nursing man-agement in psychiatric wards

目的探讨精神科病房强制性护理干预潜在的法律问题，并提出护理管理对策。方法对我院273例患者实施保护性约束的原因进行分析，探讨精神科护士实施强制性护理干预行为的原因以及潜在的法律问题。结果精神科强制性护理干预在患者的生命健康权、知情同意权、人身自由权、人格受尊重的权利方面存在法律问题，并可能存在过失、渎职行为及违反法律法规的行为。结论在精神科病房实施强制性护理干预时应尊重患者，做好相关告知，保障患者及家属的各种相关权利，并认真执行各项相关制度，使强制性护理干预措施更加人性化、科学化、规范化、程序化，避免医疗纠纷的发生。

Objective To explore the potential legal issues about mandatory nursing intervention in psychiatric wards, and put forward the strategies of nursing management. Methods The causes and the potential legal issues of the action of psychiatric nurses to carry out mandatory nursing intervention were analyzed. Results There were legal issues on the right to life and health, the right of informed consent, the right of personal freedom and the right of personality respected about mandatory nursing intervention in psychiatric wards and there might be negligence, misconduct and responsibility of violating the laws and regulations. Conclusions While carrying out mandatory nursing intervention in psychiatric wards, nurs- es need to respect the patients, make related informed well, protect various related rights of patients and families, implement seriously the relevant system so as to make mandatory nursing interventions more hu- manized, scientific, standardized, programming, and avoid the occurrence of medical disputes.