急性住院治疗期间服务生态、特殊观察与自我伤害之间的关系：City-128研究
Relationship between service ecology, special observation and self-harm during acute in-patient care: City-128 study.
作者信息
Bowers Len, Whittington Richard, Nolan Peter, Parkin David, Curtis Sarah, Bhui Kamaldeep, Hackney Diane, Allan Teresa, Simpson Alan
机构信息
Psychiatric Nursing, City University, Philpot Street, London E1 2EA, UK.
出版信息
Br J Psychiatry. 2008 Nov;193(5):395-401. doi: 10.1192/bjp.bp.107.037721.
BACKGROUND
Special observation (the allocation of nurses to watch over nominated patients) is one means by which psychiatric services endeavour to keep in-patients safe from harm. The practice is both contentious and of unknown efficacy.
AIMS
To assess the relationship between special observation and self-harm rates, by ward, while controlling for potential confounding variables.
METHOD
A multivariate cross-sectional study collecting data on self-harm, special observation, other conflict and containment, physical environment, patient and staff factors for a 6-month period on 136 acute-admission psychiatric wards.
RESULTS
Constant special observation was not associated with self-harm rates, but intermittent observation was associated with reduced self-harm, as were levels of qualified nursing staff and more intense programmes of patient activities.
CONCLUSIONS
Certain features of nursing deployment and activity may serve to protect patients. The efficacy of constant special observation remains open to question.
背景
特殊观察（安排护士照看指定患者）是精神科服务机构努力保障住院患者免受伤害的一种方式。这种做法既存在争议，其效果也未知。
目的
在控制潜在混杂变量的同时，按病房评估特殊观察与自残率之间的关系。
方法
一项多变量横断面研究，收集了136个急性入院精神科病房6个月期间关于自残、特殊观察、其他冲突与控制措施、物理环境、患者及工作人员因素的数据。
结果
持续的特殊观察与自残率无关，但间歇性观察与自残率降低有关，合格护理人员的水平以及更密集的患者活动项目也与自残率降低有关。
结论
护理安排和活动的某些特征可能有助于保护患者。持续特殊观察的效果仍值得怀疑。
Zotero 插件