University of San Francisco, School of Nursing, San Francisco, California 94117, USA.
Issues Ment Health Nurs. 2010 Mar;31(3):223-31. doi: 10.3109/01612840903288568.
Patients hearing command hallucinations to harm whose only self-management strategies are to obey these commands, can represent serious safety concerns on inpatient psychiatric units. A comprehensive evidence-based program teaching self-management of auditory hallucinations on inpatient psychiatric units is described that includes five components: suggestions for staff education; patient self-assessment tools; an interview guide and safety protocol; a course to teach strategies for managing distressing voices and commands to harm; suggestions to improve staff communication; and a plan to extend the program from inpatient care settings into the community by sharing materials with community case managers and caregivers when patients are discharged.
对于那些听到命令性幻觉并被要求伤害自己，而唯一的自我管理策略就是服从这些命令的患者，他们可能会对住院精神病病房的安全构成严重威胁。本文描述了一个在住院精神病病房中对听觉幻觉进行自我管理的综合循证项目，包括五个组成部分：员工教育建议；患者自我评估工具；访谈指南和安全协议；教授应对困扰性声音和伤害性命令的策略课程；改善员工沟通的建议；以及通过在患者出院时与社区个案管理员和护理人员分享材料，将该项目从住院治疗环境扩展到社区的计划。
