Division of Psychiatry, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
J Psychiatr Ment Health Nurs. 2011 Aug;18(6):558-61. doi: 10.1111/j.1365-2850.2011.01758.x. Epub 2011 May 30.
Constant observation is a method used to insure the safety of suicidal inpatients. It involves structure and control as well as flexibility and the development of a relationship between the observer and the patient. It has been found that important observations may go unnoticed by the observer or fail to be communicated to the multidisciplinary team because of a lack of sufficient training and systematic documentation. We therefore conducted a Delphi survey to collect opinions on what would be important to observe during constant observation of suicidal patients. A panel of experienced clinicians, service users and researchers reached consensus on 37 of 40 observation items (92%). Of these, 28 were rated as the most important. As a result, we developed a form for systematic observer documentation in clinical practice, the Suicidal Patient Observation Chart. The Suicidal Patient Observation Chart includes the 28 items and covers 24 separate observation periods.
持续观察是一种用于确保住院自杀患者安全的方法。它涉及结构和控制，以及灵活性和观察者与患者之间关系的发展。已经发现，由于缺乏足够的培训和系统的记录，重要的观察结果可能会被观察者忽视，或者未能传达给多学科团队。因此，我们进行了一项德尔菲调查，以收集关于在对自杀患者进行持续观察时应观察哪些内容的意见。一组经验丰富的临床医生、服务用户和研究人员就 40 项观察项目中的 37 项（92%）达成了共识。其中，28 项被评为最重要的。因此，我们开发了一种用于临床实践中系统观察记录的表格，即自杀患者观察表。自杀患者观察表包括 28 项内容，涵盖 24 个单独的观察期。
