Blaesi Sandra, Gairing Stefanie K, Walter Marc, Lang Undine E, Huber Christian G
Universitäre Psychiatrische Kliniken, Basel/Schweiz.
Psychiatr Prax. 2015 Mar;42(2):76-81. doi: 10.1055/s-0033-1359871. Epub 2013 Nov 19.
To compare ward atmosphere, safety, therapeutic hold, and patients' coherence on closed, recently opened, and open psychiatric wards.
Ward atmosphere on two closed, two recently opened, and two permanently open wards was examined using the Essen Climate Evaluation Schema (EssenCES), and structural as well as clinical data were extracted.
Global ward atmosphere (p < 0.001), safety (p < 0.001), and patients' coherence (p < 0.001) on the recently opened wards were significantly higher than on the closed and permanently open wards. No significant differences were found regarding therapeutic hold. Recently opened wards had the highest occupancy, and there were no significant differences regarding severity of illness.
Opening closed psychiatric wards can help establish a positive therapeutic atmosphere without omitting more severely ill patients or endangering patients and therapists.
比较封闭式、近期开放式和开放式精神科病房的病房氛围、安全性、治疗稳定性以及患者的连贯性。
使用埃森气候评估量表（EssenCES）对两个封闭式、两个近期开放式和两个永久开放式病房的病房氛围进行检查，并提取结构和临床数据。
近期开放病房的整体病房氛围（p<0.001）、安全性（p<0.001）和患者连贯性（p<0.001）显著高于封闭式和永久开放式病房。在治疗稳定性方面未发现显著差异。近期开放病房的入住率最高，疾病严重程度方面无显著差异。
开放封闭式精神科病房有助于营造积极的治疗氛围，且不会遗漏病情较重的患者，也不会危及患者和治疗师。
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