Thomas B
Maudsley Hospital, London, United Kingdom.
Aust N Z J Ment Health Nurs. 1996 Mar;5(1):32-9.
Significant opportunities now exist for the treatment and care of people with mental illness and a range of community facilities are often provided. However, the specific role of the psychiatric inpatient unit within a comprehensive mental health service continues to be a focus of debate. In England, the Department of Health's policy is that specialist psychiatric services should target their efforts toward severely mentally ill people to ensure that they receive the treatment, care and follow up that they need. The current use of beds by those with severe mental illness has recently been reviewed at the Bethlem Royal and Maudsley Hospitals by examining a sample of 1000 people admitted to six acute wards over a two year period. The results suggest that the majority of people are admitted to hospital appropriately. However, research on inpatient wards reveals that nurses are not coping effectively with the changing inpatient population. Patient care plans often reveal a lack of co-ordination and clinical focus. It is proposed that greater attention to the reasons for admission to hospital will highlight priorities for care, leading to more purposeful interventions and ultimately better use of resources.
现在，为精神疾病患者提供治疗和护理存在着重大机遇，并且通常会提供一系列社区设施。然而，精神科住院单元在综合心理健康服务中的具体作用仍是一个争论焦点。在英格兰，卫生部的政策是，专科精神科服务应将工作重点放在重症精神疾病患者身上，以确保他们得到所需的治疗、护理和随访。贝斯勒姆皇家医院和莫兹利医院最近通过对两年内入住六个急性病房的1000人样本进行调查，对目前重症精神疾病患者的床位使用情况进行了审查。结果表明，大多数人入院是恰当的。然而，对住院病房的研究显示，护士无法有效应对不断变化的住院患者群体。患者护理计划往往显示出缺乏协调和临床重点。有人提出，更多地关注入院原因将突出护理重点，从而带来更有针对性的干预措施，并最终更好地利用资源。
