对精神病重症监护的综合性审查
1Department of Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden.
Issues in mental health nursing
|October 24, 2023
概括
精神病重症监护室 (PICU) 面临着平衡风险管理与患者自主权的挑战. 促进赋权的创新为更多解放护理提供了希望,尽管目前的限制性做法仍在继续.
科学领域:
- 精神病学是一个精神病学.
- 心理健康服务研究 心理健康服务研究
背景情况:
- 精神病重症监护室 (PICU) 管理超出一般住院患者容量的急性精神症状.
- 目前的PICU研究综合需要了解护理提供,患者群体和环境.
研究的目的:
- 综合近期 (过去5年) 关于精神病重症监护病房 (PICU) 的研究.
- 确定PICU护理提供,患者人口统计和治疗模式的趋势.
主要方法:
- 综合性的文献综述.
- 在主要数据库 (MEDLINE,PsycINFO,PubMed,Scopus) 中进行全面搜索.
- 对最近47篇关于PICU护理的文章进行分析.
主要成果:
- 在PICU患者中,持续报告具有挑战性的行为,自我伤害和侵略性.
- 患者的经验强调了与恢复原则相冲突的限制性做法.
- 关于家庭参与的研究有限,在PICU内患者解放方面取得的进展微不足道.
结论:
- 在PICU护理中,临床风险管理与解放价值观之间存在着紧张关系.
- 多学科合作对于以患者为中心,公平的PICU护理至关重要.
- 患者赋权和人道环境方面的创新对于不断发展的PICU实践至关重要.
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