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病房结构对护理人员行为的影响:对三个精神科病房的观察性研究

The role of ward structure on nursing staff behaviours: an observational study of three psychiatric wards.

作者信息

Hodges V, Sandford D, Elzinga R

出版信息

Acta Psychiatr Scand. 1986 Jan;73(1):6-11. doi: 10.1111/j.1600-0447.1986.tb02657.x.

DOI:10.1111/j.1600-0447.1986.tb02657.x
PMID:3962703
Abstract

Variable rates of staff-patient interaction were found between three wards, which differed in the degree of programme structure, staff-patient ratios, and patient chronicity. Highest rates of staff-patient interaction occurred where a highly structured ward programme operated in a closed ward with chronically disturbed patients, and this was more likely to increase as staff-patient ratios decreased. The lowest staff-patient interaction rates occurred in acute, open and closed wards. Further, acute ward patients received negligible attention from nurses in terms of staff-patient interaction after 10 days following admission.

摘要

在三个病房中发现了不同的医护人员与患者互动率,这三个病房在项目结构程度、医护人员与患者比例以及患者慢性病程度方面存在差异。在一个封闭病房中,针对慢性病患者实施高度结构化的病房项目时,医护人员与患者的互动率最高,而且随着医护人员与患者比例的降低,这种互动率更有可能增加。医护人员与患者互动率最低的情况出现在急性病开放病房和封闭病房。此外,急性病病房的患者在入院10天后,就医护人员与患者互动而言,从护士那里得到的关注微乎其微。

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Int J Nurs Stud. 2010 Jul;47(7):909-17. doi: 10.1016/j.ijnurstu.2010.03.012. Epub 2010 Apr 24.