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[精神科病房客观条件与病房氛围特征的相互关系]

[Interrelations of Objective Conditions on Psychiatric Wards and Ward Climate Characteristics].

作者信息

Schalast Norbert, Sieß Julia

机构信息

Institut für Forensische Psychiatrie am LVR-Klinikum Essen, Universität Duisburg-Essen.

出版信息

Psychiatr Prax. 2018 Jul;45(5):242-247. doi: 10.1055/s-0043-100010. Epub 2017 Apr 3.

DOI:10.1055/s-0043-100010
PMID:28371952
Abstract

OBJECTIVE

Investigate inter-relations of objective conditions and a ward's social climate.

METHOD

Staff and patients on 104 wards filled in the short Essen Climate Evaluation Schema (EssenCES). Assessments were related to setting variables (like open vs. closed wards, forensic vs. general psychiatric wards, ward size, staffing).

RESULTS

Setting variables and climate characteristics are strongly associated.

CONCLUSIONS

The EssenCES, originally catered for forensic settings, proved to be useful to characterize general psychiatric wards. A number of suggestions regarding relevant setting conditions are clearly confirmed (like staffing level; open vs. closed wards). Remarkably, staff experience a higher level of on forensic than on general psychiatric wards. and are rated higher on general psychiatric wards. Heterogeneity of patients (vs. specialization of wards) is not positively related to climate characteristics; staff experiences less on non-specialized wards.

摘要

目的

研究客观条件与病房社会氛围之间的相互关系。

方法

104个病房的工作人员和患者填写了简短的埃森气候评估量表(EssenCES)。评估与环境变量(如开放式病房与封闭式病房、法医精神病病房与普通精神病病房、病房规模、人员配备)相关。

结果

环境变量与氛围特征密切相关。

结论

最初为法医环境设计的EssenCES被证明可用于描述普通精神病病房的特征。一些关于相关环境条件的建议得到了明确证实(如人员配备水平;开放式病房与封闭式病房)。值得注意的是,工作人员在法医病房的体验水平高于普通精神病病房。[此处原文缺失两个关键描述词]在普通精神病病房的评分更高。患者的异质性(相对于病房的专业化)与氛围特征没有正相关;工作人员在非专业化病房的体验较少。

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