Chalmers Angela, Harrison Sophie, Mollison Kade, Molloy Noel, Gray Kelly
Mercy Mental Health Psychiatric Unit, Werribee, VIC, Australia.
Australas Psychiatry. 2012 Feb;20(1):35-9. doi: 10.1177/1039856211430146. Epub 2012 Jan 5.
To reflect upon the implementation of sensory-based approaches within the environment of a psychiatric inpatient unit.
A literature review on sensory modulation within psychiatric inpatient care, including seclusion and restraint reduction initiatives, was conducted. A variety of sensory-based principles were planned, developed and implemented over a 3-year period. Preliminary data regarding sensory room use and acute arousal ratings within the high-dependency area were analysed.
Preliminary sensory room data showed a significant reduction in patient distress levels, as per consumer and clinician ratings, and that the majority of sensory room sessions were conducted by nursing staff. A significant reduction was also found for acute arousal ratings, pre to post, for the HDU engagement program. Several issues were uncovered throughout implementation of the sensory-based strategies.
Findings indicate the importance of cultural change, compared with simply an environmental change, giving all staff and consumers the confidence to utilise a variety of sensory-based methods during times of need. Further Australian research is required to explore the positive contribution sensory modulation can potentially make across the spectrum of psychiatric settings.
反思在精神科住院单元环境中基于感官的方法的实施情况。
对精神科住院护理中的感官调节进行了文献综述，包括减少隔离和约束的举措。在三年时间里规划、制定并实施了各种基于感官的原则。分析了关于感官室使用情况和高依赖区急性唤醒评分的初步数据。
初步的感官室数据显示，根据患者和临床医生的评分，患者的痛苦程度显著降低，并且大多数感官室治疗由护理人员进行。在高依赖区参与计划中，急性唤醒评分从治疗前到治疗后也显著降低。在实施基于感官的策略的过程中发现了几个问题。
研究结果表明，与单纯的环境变化相比，文化变革很重要，它能让所有工作人员和患者有信心在需要时使用各种基于感官的方法。需要进一步的澳大利亚研究来探索感官调节在整个精神科环境中可能做出的积极贡献。
