Haig Stephanie, Hallett Nutmeg
Midlands Partnership NHS Trust, Stafford, UK.
School of Nursing, University of Birmingham, Birmingham, UK.
Int J Ment Health Nurs. 2023 Feb;32(1):54-75. doi: 10.1111/inm.13065. Epub 2022 Sep 9.
Reducing the use of restrictive interventions within psychiatric inpatient settings is a global priority. There are many strategies which may support the prevention of violence before escalation into more severe incidences. Sensory rooms have been identified as one such intervention, aiding patients to emotionally regulate and reduce distress, with a growing body of academic literature interested in whether sensory rooms can ultimately impact incidences of patient violence and the use of restraint, seclusion, and other restrictive practices. A systematic literature review was conducted to identify how effective sensory rooms are at reducing patient violence and restrictive interventions within adult psychiatric inpatient settings. Eighteen studies met the eligibility criteria and were included in the review. There is a lack of evidence as to whether sensory rooms are effective at reducing seclusion, restraint, or violence. They are, however, likely to support a reduction in patient distress. Patient and staff experiences suggest sensory rooms support emotional regulation, promote self-management, and positively impact the overall patient admission experience and ward environment. Further research is needed to identify what works, for who and in what circumstances in relation to the design of sensory rooms.
减少精神病住院环境中限制措施的使用是一项全球优先事项。有许多策略可支持在暴力升级为更严重事件之前进行预防。感官室已被确定为这样一种干预措施，它有助于患者进行情绪调节并减轻痛苦，越来越多的学术文献关注感官室是否最终会影响患者暴力事件的发生率以及约束、隔离和其他限制措施的使用。进行了一项系统的文献综述，以确定感官室在减少成人精神病住院环境中的患者暴力和限制措施方面的效果如何。18项研究符合纳入标准并被纳入综述。关于感官室在减少隔离、约束或暴力方面是否有效，缺乏证据。然而，它们可能有助于减轻患者的痛苦。患者和工作人员的经验表明，感官室有助于情绪调节，促进自我管理，并对患者的整体住院体验和病房环境产生积极影响。需要进一步研究以确定在感官室设计方面，什么有效、对谁有效以及在何种情况下有效。
