Finnema E J, Louwerens J W, Slooff C J, van den Bosch R J
Department of Psychiatry, University Hospital Groningen, The Netherlands.
J Adv Nurs. 1996 Sep;24(3):473-8. doi: 10.1046/j.1365-2648.1996.02146.x.
We examined the influence of an educational programme on nurses' level of expressed emotion (EE), on ward climate and on social functioning and psychopathology of hospitalized schizophrenic patients. Nurses and patients were from long-stay wards of six Dutch psychiatric hospitals. Despite an increase of nurses' knowledge about schizophrenia we did not find measurable effects on nurses' levels of EE. According to the five minute speech sample method, a third of the nurses participating in this study had a high level of expressed emotion, mainly consisting of criticism. This was a rather stable pattern. Patients, however, were reluctant to give their nurses high EE ratings on the level of expressed emotion scale. Psychopathology was not influenced by the educational programme, but social functioning of patients was related to EE in nurses. Moreover, we found a significant decline in the number of restrictive ward rules at follow-up. We conclude that, while it may be difficult to detect changes in EE level after an educational programme for nurses, there nevertheless appear to be measurable benefits for patients.
我们研究了一项教育计划对护士的情感表达水平（EE）、病房氛围以及住院精神分裂症患者的社会功能和精神病理学的影响。护士和患者来自荷兰六家精神病医院的长期住院病房。尽管护士对精神分裂症的知识有所增加，但我们并未发现对护士情感表达水平有可测量的影响。根据五分钟言语样本法，参与本研究的三分之一护士情感表达水平较高，主要表现为批评。这是一种相当稳定的模式。然而，患者在情感表达量表上不太愿意给护士打高分。精神病理学未受教育计划影响，但患者的社会功能与护士的情感表达有关。此外，我们发现随访时限制性病房规则的数量显著下降。我们得出结论，虽然护士接受教育计划后可能难以检测到情感表达水平的变化，但对患者而言似乎仍有可测量的益处。
