在精神科重症监护病房实施病例制定以减少限制性干预:单个病例的准实验评估。

IF 2 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Behavioural and Cognitive Psychotherapy Pub Date : 2023-09-01 Epub Date: 2023-07-14 DOI:10.1017/S1352465823000309
Faye Cox, Stephen Kellett
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引用次数: 0

摘要

背景:目的:评估对一名被诊断为情绪不稳定型人格障碍(EUPD)、自闭症谱系障碍(ASD)和轻度学习困难的患者进行以模式为基础的治疗是否能有效减少限制性干预措施的使用:双相 n = 1 准实验设计,8 周基线期与 8 周干预期。测量的限制性干预结果为使用身体约束、隔离和肌肉注射快速镇静剂。在基线阶段,通过八次一对一的治疗制定了治疗方案,在干预阶段,通过六次一对一的治疗和病房反思实践小组的讨论实施了治疗方案。干预措施鼓励患者更好地交流模式模式,并鼓励员工通过定制模式支持做出回应:结果:需要隔离、约束和快速镇静的事件减少了:讨论:有必要将心理干预作为重症监护病房护理的一个常规方面,并且有必要为这些病房的心理干预建立一个方法上更强大的证据库。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementation of a case formulation to reduce restrictive interventions on a psychiatric intensive care unit: quasi-experimental single case evaluation.

Background: Despite the use of case formulation being encouraged for in-patient psychiatric care, there have been no previous examples and evaluations of this type of work on a psychiatric intensive care unit (PICU).

Aims: To evaluate whether a schema-informed formulation with a patient diagnosed with emotionally unstable personality disorder (EUPD), autism spectrum disorder (ASD) and mild learning difficulties was effective in reducing the use of restrictive interventions.

Method: A biphasic n = 1 quasi-experimental design with an 8-week baseline versus an 8-week intervention phase. The restrictive outcomes measured were use of physical restraint, seclusion, and intramuscular rapid tranquilisation. The formulation was developed through eight one-to-one sessions during the baseline period, and was implemented via six one-to-one sessions during the intervention phase and discussion at the ward reflective practice group. The intervention encouraged better communication of schema modes from the patient and for staff to then respond with bespoke mode support.

Results: Incidents involving need for seclusion, restraint and rapid tranquilisation extinguished.

Discussion: The need for making access to psychological input a routine aspect of the care in PICUs and the necessity for developing a methodologically more robust evidence base for psychological interventions on these wards.

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来源期刊
CiteScore
3.50
自引率
5.60%
发文量
82
期刊介绍: An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.
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