Nusbaum J G, Drever E
Issues Ment Health Nurs. 1990;11(2):175-84. doi: 10.3109/01612849009014552.
This study identifies and describes the inpatient nursing treatment and rationale for patients with anorexia nervosa in nationally recognized psychiatric inpatient settings. The study was undertaken to guide planned change in the nursing protocol on the authors' unit. Sixteen units were surveyed in an extensive telephone interview using structured interview guides. Findings indicated that behavioral management with contingency plans was the mainstay of treatment for the patients regardless of the identified unit treatment philosophy. This approach is effective for patient weight gain within an inpatient setting. Based on these data, the authors concluded that the program which was ongoing at their site was more restrictive than that in most other settings. Changes were made in the unit program to lessen the controls. Objective measures of weight and length of stay indicated that patients do as well with the revised plan as they did with the more controlled plan.
本研究识别并描述了在全国公认的精神科住院环境中，神经性厌食症患者的住院护理治疗方法及依据。开展这项研究是为了指导作者所在科室护理方案的计划变革。使用结构化访谈指南，通过广泛的电话访谈对16个科室进行了调查。结果表明，无论所确定的科室治疗理念如何，采用应急计划的行为管理都是患者治疗的主要方法。这种方法对于住院患者体重增加有效。基于这些数据，作者得出结论，他们所在科室正在实施的方案比大多数其他科室的方案限制更多。对科室方案进行了调整以减少控制措施。体重和住院时间的客观指标表明，患者采用修订后的方案与采用控制更严格的方案效果相同。
