在急性精神卫生部门区分治疗反应,以减少限制性实践使用和情境攻击
Esario Iv Daguman1, Alison Taylor2, Matthew Flowers2
1Southern Cross University, Coffs Harbour, New South Wales, Australia.
Journal of clinical nursing
|March 14, 2025
概括
心理健康护士使用口头降级,积极倾听和建立关系,显著减少了隐居,身体克制和侵略. 其他干预措施对减少限制性做法没有显著影响.
科学领域:
- 心理健康护理 心理健康护理
- 临床心理学 临床心理学
- 医疗保健管理的管理
背景情况:
- 侵略和限制性做法是成人住院精神卫生单位面临的重大挑战.
- 有效的降级策略对于患者安全和治疗环境至关重要.
- 了解不同护理干预措施的影响对于改善护理至关重要.
研究的目的:
- 为了确定同时发生的护理治疗对侵略反应的集群.
- 检查这些干预集群与限制性做法和局势侵略的减少之间的关联.
- 评估不同降级方法在心理健康环境中的有效性.
主要方法:
- 从一个区域成人住院病房的缓和日志的回顾性分析.
- 使用等级分类来分组同时发生的护理干预措施.
- 波桑混合效应模型分析了干预集群和限制性做法之间的关联.
主要成果:
- 确定了两个不同的干预集群.
- 集群1 (口头缓和,积极倾听,建立关系) 显著减少了孤立 (83%),身体克制 (79%) 和局势攻击.
- 集群2 (包括限制设置,解决问题,分心,感官调节,环境变化,员工时间) 没有显著减少限制性做法.
结论:
- 具体的降级策略,特别是那些专注于治疗关系的策略,在减少限制性做法方面非常有效.
- 这些发现强调了护士治疗潜力的价值和结构化降级方法的重要性.
- 支持护士的治疗工作对于以康复为导向的护理和专业身份至关重要.
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