Alden L
J Nerv Ment Dis. 1978 May;166(5):327-34. doi: 10.1097/00005053-197805000-00003.
This study investigated the relationship between treatment environment and patient behavior change. The psychosocial environments of eight psychiatric wards were assessed by having patients complete the Ward Atmosphere Scale and by having observers record ongoing social interactions on the ward. These environmental measures were related to behavior change scores taken from staff ratings of patient behavior. Both the patient perceptions of the ward environment and the observational environmental measures displayed significant relationships with behavior change. Patient perceptions of staff control and of staff acceptance of anger were found to be important environmental dimensions for patient improvement. In addition, wards having more patient-staff interaction displayed more patient improvement.
本研究调查了治疗环境与患者行为改变之间的关系。通过让患者完成病房氛围量表，并让观察者记录病房内正在进行的社交互动，对八个精神科病房的心理社会环境进行了评估。这些环境测量结果与从工作人员对患者行为的评分中得出的行为改变分数相关。患者对病房环境的认知以及观察到的环境测量结果均与行为改变存在显著关系。发现患者对工作人员控制的认知以及工作人员对愤怒的接受程度是患者改善的重要环境维度。此外，患者与工作人员互动较多的病房，患者改善情况更佳。
