Nehls N
Issues Ment Health Nurs. 1994 Jan-Feb;15(1):1-11. doi: 10.3109/01612849409074929.
Hospital care for persons with mental health problems has changed dramatically in the past two decades. The emphasis on community-based models of care, cost containment, and the concern that psychiatric hospitalization may be ineffective or even harmful for some clients has led to the development of innovative hospital treatment programs. In this paper, the author examines a brief hospital treatment program developed for persons who have been identified, either previously or currently, with borderline personality disorder. The typical features of brief hospital plans, the lived experiences of five participants, and the changes in hospital utilization before and after the involvement in the program are discussed. The findings reveal the benefits as well as the limitations of this innovative program in improving the day-to-day lives of people with mental health problems. The methodology and results of this study provide direction for innovation and diversification in psychiatric nursing practice and research.
在过去二十年中，针对有心理健康问题者的医院护理发生了巨大变化。对基于社区的护理模式的重视、成本控制，以及对精神科住院治疗可能对某些患者无效甚至有害的担忧，促使了创新型医院治疗项目的发展。在本文中，作者研究了一个为曾被确诊或目前被确诊为边缘型人格障碍的患者制定的短期医院治疗项目。文中讨论了短期医院治疗计划的典型特征、五名参与者的实际经历，以及参与该项目前后医院利用率的变化。研究结果揭示了这一创新项目在改善心理健康问题患者日常生活方面的益处和局限性。本研究的方法和结果为精神科护理实践和研究的创新与多样化提供了方向。
