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三年后的重症监护;对患者和员工经历的评估以及对精神病学强制手段的影响

[High and intensive care three years later; an evaluation of the experiences of patients and employees and the effect on coercive measures in psychiatry].

作者信息

Bierbooms J J P A, Lorenz-Artz C A G, Pols E, Bongers I M B

出版信息

Tijdschr Psychiatr. 2017;59(7):427-432.

Abstract

BACKGROUND

As part of the national campaign against the use of coercive measures in psychiatry, the Mental Health Service in Eindhoven set up the first modern high and intensive care centre (HIC) in Eindhoven in 2012.

AIM

To study the progress of the numbers on coercive measures, and to evaluate the experiences of patients and treatment team members after working for three years according to the HIC model.

METHOD

We analysed the registration data, carried out a short survey and conducted interviews.

RESULTS

We found that the number of coercive measures used between 2012 and 2015 had declined by 42%. Patients generally had a positive attitude to the treatment they had received. They appreciated the role played by the team and were pleased to have had access to modern technology. Team members had a positive attitude to working with the HIC model.

CONCLUSION

The main goals of working according to the new HIC model have been achieved. However, it should be possible to increase cooperation with mobile teams, develop more links with patients' next-of-kin and make wider use of modern technology.

摘要

背景

作为全国反对在精神病学中使用强制手段运动的一部分,埃因霍温的心理健康服务机构于2012年在埃因霍温设立了首个现代化的高强化护理中心(HIC)。

目的

研究强制手段使用数量的变化情况,并根据HIC模式对患者和治疗团队成员工作三年后的体验进行评估。

方法

我们分析了登记数据,进行了简短调查并开展了访谈。

结果

我们发现,2012年至2015年期间强制手段的使用数量下降了42%。患者总体上对所接受的治疗持积极态度。他们赞赏团队所发挥的作用,并很高兴能够使用现代技术。团队成员对采用HIC模式工作持积极态度。

结论

按照新的HIC模式工作的主要目标已经实现。然而,应该加强与流动团队的合作,与患者的近亲建立更多联系,并更广泛地使用现代技术。

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