Helleman Marjolein, Goossens Peter J J, Kaasenbrood Ad, van Achterberg Theo
Marjolein Helleman, RN, MScN, Dimence Group, Zwolle, Netherlands; Radboud University Medical Centre, Nijmegen, Netherlands
Peter J. J. Goossens, RN, APRN, PhD, FEANS, Radboud University Medical Centre, Nijmegen, Netherlands; Dimence Group, Deventer, Netherlands; Ghent University, Ghent, Belgium; GGZ-VS, Utrecht, Netherlands.
J Am Psychiatr Nurses Assoc. 2016 May;22(3):215-24. doi: 10.1177/1078390316636196. Epub 2016 Mar 2.
This study describes the use of brief admissions to a psychiatric ward by a single patient across a period of 7 years. The patient suffered from a borderline personality disorder and a complex posttraumatic stress disorder.
The purpose of this study was to describe how brief admission may be used during a long-term treatment process.
A single-case descriptive study with triangulation of the data was undertaken. Semistructured interviews were conducted with the patient and the patient's spouse, psychiatrist, ward nurse, and community psychiatric nurse. Other data were retrieved from the medical records of the patient.
Four phases could be distinguished in the treatment of the patient: crisis, treatment of posttraumatic stress disorder, treatment of borderline personality disorder, and recovery. The use of brief admissions positively influenced the course of treatment.
Brief admissions were initially used to prevent self-harm and suicide. The goals and functions expanded to prevention of prolonged admission, prevention of dropout from evidence-based therapy, and practicing with newly acquired skills and promotion of autonomy.
本研究描述了一名患者在7年期间多次短期入住精神科病房的情况。该患者患有边缘型人格障碍和复杂性创伤后应激障碍。
本研究的目的是描述在长期治疗过程中如何使用短期住院治疗。
采用单病例描述性研究，并对数据进行三角验证。对患者及其配偶、精神科医生、病房护士和社区精神科护士进行了半结构化访谈。其他数据则从患者的病历中获取。
患者的治疗可分为四个阶段：危机期、创伤后应激障碍治疗期、边缘型人格障碍治疗期和康复期。短期住院治疗的使用对治疗进程产生了积极影响。
短期住院治疗最初用于预防自我伤害和自杀。其目标和功能扩展到预防长期住院、预防基于证据的治疗中断，以及运用新获得的技能和促进自主性。
