Evatt Mary, Scanlan Justin Newton, Benson Hannah, Pace Catherine, Mouawad Arianne
Concord Centre for Mental Health, Mental Health Services Sydney Local Health District, Concord.
Faculty of Health Sciences, University of Sydney, Lidcombe, New South Wales, Australia.
Aust Occup Ther J. 2016 Oct;63(5):312-320. doi: 10.1111/1440-1630.12290. Epub 2016 Apr 5.
BACKGROUND/AIM: Consumers admitted to High Dependency Units (HDUs) or Psychiatric Intensive Care Units (PICUs) experience very significant functional difficulties. These can make it challenging to deliver targeted occupational therapy interventions. This study was established to analyse previously collected data to better understand consumer functioning in HDUs and PICUs.
The Hyperacute Screening Tool (HST) includes descriptors of increasing functional skills in three domains of functioning (task performance, social performance and task initiation). Data were extracted from 360 HSTs from 70 individuals admitted to a male HDU and a PICU in a mental health facility in metropolitan Sydney and analysed using the Rasch analysis program Facets.
The hierarchy of category descriptors in each domain of the HST was correctly ordered, suggesting that the pattern of regaining functional abilities in the HST is accurate. Results suggested that there may be some conceptual overlap between adjacent categories and that the pattern of regaining functional abilities as described in the HST may not be applicable to a minority of individuals.
This study provides the first description of functional abilities of consumers admitted to an HDU and PICU. Results were used to develop an initial conceptualisation of 'stages' of regaining functional abilities and a set of initial guidelines to support targeted occupational therapy interventions. This study will contribute to a better understanding of the functional abilities of individuals admitted to HDUs and PICUs and will support the development of optimal occupational therapy interventions in these settings.
背景/目的：入住高依赖病房（HDU）或精神科重症监护病房（PICU）的患者存在非常显著的功能障碍。这些障碍使得提供有针对性的职业治疗干预具有挑战性。本研究旨在分析先前收集的数据，以更好地了解HDU和PICU中患者的功能状况。
超急性筛查工具（HST）包括在三个功能领域（任务表现、社交表现和任务启动）中功能技能提升的描述。数据从悉尼大都市一家精神卫生机构的70名入住男性HDU和PICU的患者的360份HST中提取，并使用Rasch分析程序Facets进行分析。
HST每个领域的类别描述符层次结构排序正确，表明HST中恢复功能能力的模式是准确的。结果表明相邻类别之间可能存在一些概念重叠，并且HST中描述的恢复功能能力模式可能不适用于少数个体。
本研究首次描述了入住HDU和PICU的患者的功能能力。研究结果用于初步构建恢复功能能力“阶段”的概念化，并制定了一套初步指南，以支持有针对性的职业治疗干预。本研究将有助于更好地理解入住HDU和PICU的患者的功能能力，并支持在这些环境中开发最佳的职业治疗干预措施。
