减少住院精神卫生单位隔离的协议
McKenzie Quinn1, Eric Jutkowitz1,2,3, Jennifer Primack2,4
1Evidence Synthesis Program Center Providence VA Medical Center, Providence, Rhode Island, USA.
International journal of mental health nursing
|January 9, 2024
概括
建筑设计,感官房间和风险评估工具等协议可能会减少精神病单位的隔离事件. 然而,由于当前研究的方法限制,证据的确定性较低.
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
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 在精神病医院住院的隔离越来越被认为是最后的手段干预.
- 已经制定了许多协议,旨在减少隔离的使用.
研究的目的:
- 系统地审查旨在减少隔离做法的协议的有效性.
- 评估对流程,患者和工作人员结果的影响.
主要方法:
- 对减少成人住院精神卫生单位隔离的协议研究的系统审查.
- 在多个数据库 (Medline,Embase,PsycINFO等) 进行了搜索. 在2022年9月之前.
- 使用行为变化轮进行分类协议,并使用GRADE评估证据确定性.
主要成果:
- 48份报告涵盖了五种方法:重组,员工培训,感官室,风险评估和综合干预.
- 建筑设计,感官房间,布罗塞特暴力清单和多组件干预措施显示了减少隔离的潜力.
- 由于方法的局限性,证据的确定性很低.
结论:
- 某些干预措施,包括积极的建筑设计和感官房间,可能有助于减少隔离事件.
- 建议对未来的研究进行标准化报告和混分析.
- 需要进一步进行高质量的研究,以证实隔离减少协议的有效性.
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