Thomas Ben, Jones Margaret, Johns Paul, Trauer Tom
St Vincent's Mental Health, Fitzroy, Victoria, Australia.
Int J Ment Health Nurs. 2006 Dec;15(4):266-71. doi: 10.1111/j.1447-0349.2006.00433.x.
This paper describes the introduction of a daily activity programme with clients who require psychiatric intensive care in two locked high-dependency units (HDUs). To evaluate the programme, a crossover study between the two units was undertaken with a convenience sample of clients. Baseline data of pro re nata (p.r.n.) medication dispensed to patients were collected for a period of 2 weeks from both locked units before the introduction of the programme. The programme was conducted for a period of 1 month in alternate locked units. Both non-intervention and active programme data were collected throughout the 6-month period of the study. Findings from the study demonstrated that an activity-based nursing intervention was effective in reducing the number of p.r.n. medications dispensed in a HDU compared with control conditions. The effects were statistically significant in one of the units and absent in the other. This study shows that a purposeful activity programme for severely disturbed psychiatric clients in a HDU setting can be effective in reducing disturbed behaviour and therefore the need for p.r.n. medication.
本文描述了在两个封闭的高依赖单元（HDU）中，针对需要精神科重症护理的患者引入日常活动计划的情况。为了评估该计划，对两个单元的患者进行了交叉研究，样本为方便选取的患者。在该计划实施前，从两个封闭单元收集了为期2周的按需（p.r.n.）发放给患者的药物基线数据。该计划在交替的封闭单元中进行了1个月。在研究的6个月期间，收集了非干预和积极计划的数据。研究结果表明，与对照情况相比，基于活动的护理干预在减少高依赖单元中按需发放药物的数量方面是有效的。在其中一个单元中，效果具有统计学意义，而在另一个单元中则没有。这项研究表明，在高依赖单元环境中，为严重精神障碍患者制定有目的的活动计划可以有效减少紊乱行为，从而减少按需用药的需求。
