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改善住院精神科护理中的治疗关系:对参与式行动研究产生的循证实践实施后治疗联盟和同理心的评估。

Improving the therapeutic relationship in inpatient psychiatric care: Assessment of the therapeutic alliance and empathy after implementing evidence-based practices resulting from participatory action research.

作者信息

Moreno-Poyato Antonio R, Delgado-Hito Pilar, Suárez-Pérez Raquel, Lluch-Canut Teresa, Roldán-Merino Juan F, Montesó-Curto Pilar

机构信息

Escola Superior d'Infermeria del Mar, Parc de Salut Mar, Barcelona, Spain.

IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.

出版信息

Perspect Psychiatr Care. 2018 Apr;54(2):300-308. doi: 10.1111/ppc.12238. Epub 2017 Sep 13.

Abstract

PURPOSE

To examine how evidence about the therapeutic alliance gleaned from participatory action project affected the level of this alliance and the degree of empathy of psychiatric nurses.

DESIGN AND METHODS

Quasi-experimental study in two psychiatric units. In one group, evidence-based practices that affected the therapeutic alliance were implemented; in the comparison group, there was no such intervention.

FINDINGS

The nurses from the intervention group improved their degree of empathy and factors such as agreement on objectives and tasks with the patient.

PRACTICE IMPLICATIONS

The results confirm the possibility of measuring and improving the therapeutic relationship in psychiatric care.

摘要

目的

探讨从参与性行动项目中收集到的有关治疗联盟的证据如何影响该联盟的水平以及精神科护士的同理心程度。

设计与方法

在两个精神科病房进行的准实验研究。一组实施了影响治疗联盟的循证实践;对照组未进行此类干预。

研究结果

干预组的护士提高了同理心程度,以及与患者在目标和任务达成一致等方面的表现。

实践意义

结果证实了在精神科护理中测量和改善治疗关系的可能性。

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