Delaney Kathleen R
Department of Community and Mental Health Nursing, Rush College of Nursing, Chicago, IL, USA.
J Child Adolesc Psychiatr Nurs. 2009 Nov;22(4):211-9. doi: 10.1111/j.1744-6171.2009.00201.x.
Lowering the incidence of reactive aggression on inpatient child/adolescent psychiatric units by creating a milieu that reduces coping demands and augments children's self- regulation capabilities.
This article elaborates on specific staff approaches that have the potential to reduce occurrences of reactive aggression and behavioral eruptions frequently displayed by children and adolescents during inpatient psychiatric treatment. Identified are key staff behaviors along with explanations on how they dampen the kindling of reactive aggression and create an enhanced milieu. Accompanying each staff behavior is an explanation of the neuroscience and theory that supports the intervention.
Published literature and clinical examples.
Children hospitalized on inpatient psychiatric units frequently have poor self-regulation skills and diffuse the negative affects they experience via behaviors such as tantrums, venting, and aggression. Staff can reduce this reactive aggression by tempering the way they set expectations, by providing structure, and by decreasing threat via sensible rules that encourage choice. Staff must also create and maintain relationships with the patients that set a particular tone, thereby creating an enhanced milieu populated with adults who are positive and able to attune to a child's changing affect level.
通过营造一个减少应对需求并增强儿童自我调节能力的环境，降低住院儿童/青少年精神科病房中反应性攻击行为的发生率。
本文详细阐述了一些特定的工作人员方法，这些方法有可能减少儿童和青少年在住院精神科治疗期间频繁出现的反应性攻击行为和行为爆发。确定了关键的工作人员行为，并解释了它们如何抑制反应性攻击行为的引发并营造一个更好的环境。每种工作人员行为都配有支持该干预措施的神经科学和理论解释。
已发表的文献和临床实例。
在住院精神科病房住院的儿童通常自我调节能力较差，会通过发脾气、发泄和攻击等行为来分散他们所经历的负面影响。工作人员可以通过调整设定期望的方式、提供结构以及通过鼓励选择的合理规则减少威胁来减少这种反应性攻击行为。工作人员还必须与患者建立并维持一种特定基调的关系，从而营造一个更好的环境，其中有积极且能够适应儿童情绪变化水平的成年人。
