精神医学における10年間の高度・集中治療:発展と将来の影響に関する専門家の反省
I C de Jong Isa1, A L van Melle Laura1,2, S Gerritsen Sylvia1
1Department of Ethics, Law and Humanities, Amsterdam University Medical Center, Amsterdam, the Netherlands.
International journal of mental health nursing
|August 22, 2025
まとめ
オランダの精神病棟で 高度・集中治療のモデルを実装することで 強制は減ったが 課題に直面した. 重要な進展には スタッフの流動性や 改善されたコラボレーションが含まれるため 患者の維持と患者との接触に重点を置く必要があります
科学分野:
- 精神 的 な 医療
- 実施科学
- 精神科 看護
背景:
- オランダの精神病棟は過去10年間,高密集治療 (HIC) モデルを採用しています.
- HICモデルは 強制を軽減し,急性精神保健施設でのケア品質を向上させることを目的としています.
- 実施は効果的でありながら 困難な医療環境では複雑でした
研究 の 目的:
- 専門家の反省を通してHICモデルの実装プロセスを調査する.
- HICモデルの実施中に遭遇した主要な進展と課題を特定する.
- HICモデルの実践と有効性を高めるための勧告を提供すること.
主な方法:
- 定性的な研究方法を用いた全国的多中心研究.
- データ収集には,26の機関および国のグループインタビューが含まれる.
- 集めたインタビューデータをテーマ別分析した.
主要な成果:
- HICの実施以来の重要な進展には,スタッフの転職,強制レベルの変化,外来患者ケアとの協力,組織的な作業,そしてコントロールから患者との接触への移行が含まれています.
- 介護の継続性と安全性には スタッフの維持と獲得が不可欠です
- 効果的な治療のために,診察室でのケアと関係者との協力を強化することが推奨されます.
結論:
- 組織的な作業と 病棟間の協力の強化には 経営陣のサポートと 反省力と 明確なビジョンが必要です
- 患者との接触を優先することは 安全性を高めますが 時間と行動の調整が必要です
- 実行科学の原則を適用することは,急性精神保健の持続的な改善と強制の削減に不可欠です.
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