Christenfeld R, Wagner J, Pastva G, Acrish W P
Harlem Valley Psychiatric Center, Wingdale, New York.
Psychiatr Q. 1989 Fall;60(3):253-64. doi: 10.1007/BF01064801.
A study was conducted at New York State's Harlem Valley Psychiatric Center of the effects of physical changes in the ward environment on severely regressed psychotic inpatients and on the hospital staff who treat them. Two standard wards were remodeled according to principles in the scientific literature, preferences of those involved, and attempts to facilitate treatment goals. Within 8 months of the inauguration of the redesigned setting, there were selective behavior and attitude changes in both staff (N = 27) and patients (N = 37) as compared to four matched control wards (staff N = 44; patient N = 44): (1) staff mood level was raised significantly on a standard scale; (2) staff unscheduled absence rate was cut in half; (3) staff did not report significant improvement on scales of ward atmosphere and patient functioning; (4) patients themselves reported improvement in their self-images, but not in irritability, isolation, or depression; (5) patients reported significantly more satisfaction with the ward dayroom; (6) rate of patient violence decreased almost 50%.
纽约州哈莱姆谷精神病中心开展了一项研究，旨在探究病房环境的物理变化对病情严重恶化的精神病住院患者以及治疗这些患者的医院工作人员的影响。根据科学文献中的原则、相关人员的偏好以及促进治疗目标的尝试，对两个标准病房进行了改造。与四个匹配的对照病房（工作人员N = 44；患者N = 44）相比，在重新设计的环境启用后的8个月内，工作人员（N = 27）和患者（N = 37）都出现了选择性的行为和态度变化：（1）工作人员的情绪水平在标准量表上显著提高；（2）工作人员的无故缺勤率减半；（3）工作人员在病房氛围和患者功能量表上未报告有显著改善；（4）患者自己报告自我形象有所改善，但易怒、孤僻或抑郁情况未改善；（5）患者对病房娱乐室的满意度显著提高；（6）患者暴力发生率下降了近50%。
