实施病例表述,以减少精神病重症监护室的限制性干预:准实验性单个病例评估
Faye Cox1, Stephen Kellett1,2
1Rotherham Doncaster and South Humber NHS Foundation Trust, UK.
Behavioural and cognitive psychotherapy
|July 14, 2023
概括
基于方案的配方有效地减少了精神病重症监护中的限制性干预. 本案例研究强调了在这些专业单位进行干预的心理投入和强有力的证据的需要.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 法医精神病学 法医精神病学
背景情况:
- 在住院精神病治疗中鼓励病例制定,但在精神病重症监护室 (PICU) 缺乏评估.
- 没有先前的研究评估了在PICU环境下基于模式的配方.
研究的目的:
- 评估基于模式的配方在减少患有情绪不稳定人格障碍,自闭症谱系障碍和轻度学习困难的患者限制性干预措施的有效性.
- 评估对使用身体限制,隔离和快速镇静的影响.
主要方法:
- 一个双相,单患者 (n=1) 准实验设计,具有8周的基线和8周的干预阶段.
- 在八个会议中制定了公式,通过六个会议和病房反思实践实施.
- 干预的重点是患者和工作人员对模式模式的沟通以及员工量身定制的响应.
主要成果:
- 需要隔离,身体克制和快速镇静的事件在干预阶段被消除.
- 该研究表明,限制性干预完全停止了.
结论:
- 心理投入应该是PICU护理的常规组成部分.
- 需要在方法上提供更强有力的证据,以证明PICU环境中的心理干预措施.
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