Bougard Katherine Gardner, Laupola Tina Marie Truncellito, Parker-Dias Joan, Creekmore Jeremy, Stangland Stacey
Registered Nurse at The Queen's Medical Center, Honolulu, Hawaii, USA.
1301 Punchbowl Street, Honolulu, Hawaii, USA.
J Child Adolesc Psychiatr Nurs. 2016 Nov;29(4):196-206. doi: 10.1111/jcap.12164.
Evidence-based group therapy in an inpatient setting that provides an integrated treatment approach for both trauma and addiction in female adolescents.
The purpose of this evidence-based practice (EBP) project was to implement and assess the impact of an integrated group therapy approach for both posttraumatic stress disorder (PTSD) and substance use disorder (SUD) in adolescent females as part of a residential treatment program.
The Iowa Model of EBP guided this EBP project. Judith Herman's three-stage model of trauma recovery and the Skills Training in Affective and Interpersonal Regulation (STAIR) model served as the theoretical framework for the group therapy curriculum. Two programs, Seeking Safety, by Lisa Najavits and VOICES, by Stephanie Covington, provided a guide for group topics and activities.
Patients that participated in Turning the Tides© group therapy curriculum reported a decrease in overall PTSD symptoms and decreased functional impairment scores, based on the Child PTSD Symptoms Scale. However, there was a statistically significant increase in the use of as needed medications following the completion of group therapy. Postgroup evaluations from patients indicated a genuine desire to engage in the group therapy as well as an increased sense of trust with facilitators. Implications for psychiatric nursing include the delivery of safe, quality patient care as evidenced by positive improvement in patient outcomes.
住院环境中基于证据的团体治疗，为女性青少年的创伤和成瘾问题提供综合治疗方法。
本基于证据的实践（EBP）项目的目的是实施并评估一种综合团体治疗方法对青少年女性创伤后应激障碍（PTSD）和物质使用障碍（SUD）的影响，该方法是住院治疗项目的一部分。
爱荷华州EBP模式指导了本EBP项目。朱迪思·赫尔曼的创伤恢复三阶段模型和情感与人际调节技能训练（STAIR）模型作为团体治疗课程的理论框架。丽莎·纳贾维茨的《寻求安全》和斯蒂芬妮·科温顿的《声音》这两个项目为团体主题和活动提供了指导。
根据儿童PTSD症状量表，参加“扭转潮流”团体治疗课程的患者报告总体PTSD症状有所减轻，功能损害评分降低。然而，团体治疗结束后，按需用药的使用在统计学上有显著增加。患者的团体治疗后评估表明，他们真心希望参与团体治疗，并且对治疗师的信任增强。对精神科护理的启示包括提供安全、优质的患者护理，患者结果的积极改善就是证明。
