中华护理杂志 ›› 2023, Vol. 58 ›› Issue (5): 624-630.DOI: 10.3761/j.issn.0254-1769.2023.05.017
收稿日期:
2022-07-08
出版日期:
2023-03-10
发布日期:
2023-03-01
作者简介:
赵燕利:女,硕士,讲师,E-mail:zhaoyanli86@126.com
基金资助:
ZHAO Yanli(), ZHAO Wei, LIU Zhihua, XU Hui, LIU Dongling
Received:
2022-07-08
Online:
2023-03-10
Published:
2023-03-01
摘要:
目的 对安全病房干预在精神科的应用进行范围综述,为该干预今后在国内临床实施提供参考。 方法 以澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)发布的证据整合手册为该范围综述的方法学指导框架,检索PubMed、Embase、CINAHL、PsycINFO、Web of Science、Scopus、Cochrane Library、JBI循证实践、JBI证据整合、中国知网、万方数据库、维普数据库和中国生物医学文献数据库中有关安全病房干预的原始研究,检索时限为建库至2022年8月21日。由2名研究者独立筛选文献和提取数据,并对纳入文献进行汇总和分析。 结果 纳入的19篇文献从干预的有效性、干预的保真度和可行性等不同角度,对涉及到的14项安全病房实施性研究进行了全方位评价。结论 如果有较高的实施保真度,安全病房干预可有效降低精神科病房冲突事件的发生和限制措施的使用,并改善病房氛围。安全病房干预可作为国内精神科病房开展创伤知情及以康复为导向的护理实践的重要方法,未来开展相关实施性研究时需加强对工作人员的培训、帮助工作人员树立积极的态度和信念,并获得医院管理层的支持。
赵燕利, 赵伟, 刘志华, 徐晖, 刘东玲. 安全病房干预在精神科应用的范围综述[J]. 中华护理杂志, 2023, 58(5): 624-630.
ZHAO Yanli, ZHAO Wei, LIU Zhihua, XU Hui, LIU Dongling. Application of safewards interventions in psychiatric wards:a scoping review[J]. Chinese Journal of Nursing, 2023, 58(5): 624-630.
[1] |
Bowers L. Safewards:a new model of conflict and containment on psychiatric wards[J]. J Psychiatr Ment Health Nurs, 2014, 21(6):499-508.
DOI URL |
[2] | 范思思, 易琦峰, 康丽阳, 等. 护士遭遇工作场所暴力后发生应激障碍现状及其影响因素的研究进展[J]. 中华护理杂志, 2018, 53(12):1451-1454. |
Fan SS, Yi QF, Kang LY, et al. Current status and influencing factors of stress disorder in nurses after workplace violence:a review[J]. Chin J Nurs, 2018, 53(12):1451-1454. | |
[3] |
蔡壮, 许冬梅, 高静, 等. 精神科保护性约束实施及解除专家共识[J]. 中华护理杂志, 2022, 57(2):146-151.
DOI |
Cai Z, Xu DM, Gao J, et al. Expert consensus on the implementation and removal of protective restraints in psychiatry[J]. Chin J Nurs, 2022, 57(2):146-151.
DOI |
|
[4] |
Cusack P, Cusack FP, McAndrew S, et al. An integrative review exploring the physical and psychological harm inherent in using restraint in mental health inpatient settings[J]. Int J Ment Health Nurs, 2018, 27(3):1162-1176.
DOI URL |
[5] |
Hammer JH, Springer J, Beck NC, et al. The relationship between seclusion and restraint use and childhood abuse among psychiatric inpatients[J]. J Interpers Violence, 2011, 26(3):567-579.
DOI PMID |
[6] | LeBel JL, Duxbury JA, Putkonen A, et al. Multinational experiences in reducing and preventing the use of restraint and seclusion[J]. J Psychosoc Nurs Ment Health Serv, 2014, 52(11):22-29. |
[7] |
Bowers L, Alexander J, Bilgin H, et al. Safewards:the empirical basis of the model and a critical appraisal[J]. J Psychiatr Ment Health Nurs, 2014, 21(4):354-364.
DOI URL |
[8] | 夏志春, 叶君荣, 李思珏, 等. 应用缓和技巧防范精神科工作场所暴力的研究进展[J]. 中华护理杂志, 2018, 53(11):1391-1394. |
Xia ZC, Ye JR, Li SJ, et al. Literature review of de-escalation in violence prevention in psychiatric inpatients[J]. Chin J Nurs, 2018, 53(11):1391-1394. | |
[9] | 余芳. 住院精神病患者暴力攻击行为的护理评估和预警机制的实施效果[J]. 国际护理学杂志, 2017(15):2115-2117. |
Yu F. Impact of nursing assessment and early identification of warning signs on violence and aggression among psychiatric inpatients[J]. Int J Nurs, 2017(15):2115-2117. | |
[10] |
王喜益, 叶志弘, 汤磊雯. 范围综述在护理领域的应用进展[J]. 中华护理杂志, 2019, 54(8):1259-1263.
DOI |
Wang XY, Ye ZH, Tang LW. An integrative review of scoping review applied in nursing literature[J]. Chin J Nurs, 2019, 54(8):1259-1263. | |
[11] | Peters MDJ, Godfrey C, McInerney P, et al. Chapter 11:scoping reviews(2020 version). JBI manual for evidence synthesis[EB/OL].(2021-02)[2022-06-16]. https://synthesismanual.jbi.global. |
[12] |
Bowers L, James K, Quirk A, et al. Reducing conflict and containment rates on acute psychiatric wards:the safewards cluster randomised controlled trial[J]. Int J Nurs Stud, 2015, 52(9):1412-1422.
DOI PMID |
[13] |
Fletcher J, Spittal M, Brophy L, et al. Outcomes of the Victorian Safewards trial in 13 wards:impact on seclusion rates and fidelity measurement[J]. Int J Ment Health Nurs, 2017, 26(5):461-471.
DOI URL |
[14] |
Baumgardt J, Jäckel D, Helber-Böhlen H, et al. Preventing and reducing coercive measures-an evaluation of the implementation of the safewards model in two locked wards in Germany[J]. Front Psychiatry, 2019, 10:340.
DOI PMID |
[15] |
Hottinen A, Rytilä-Manninen M, Laurén J, et al. Impact of the implementation of the safewards model on the social climate on adolescent psychiatric wards[J]. Int J Ment Health Nurs, 2020, 29(3):399-405.
DOI URL |
[16] |
Dickens GL, Tabvuma T, Frost SA, et al. Safewards:changes in conflict,containment,and violence prevention climate during implementation[J]. Int J Ment Health Nurs, 2020, 29(6):1230-1240.
DOI URL |
[17] |
Lickiewicz J, Adamczyk N, Hughes PP, et al. Reducing aggression in psychiatric wards using safewards-a polish study[J]. Perspect Psychiatr Care, 2021, 57(1):50-55.
DOI URL |
[18] |
Stensgaard L, Andersen MK, Nordentoft M, et al. Implementation of the safewards model to reduce the use of coercive measures in adult psychiatric inpatient units:an interrupted time-series analysis[J]. J Psychiatr Res, 2018, 105:147-152.
DOI PMID |
[19] | Fletcher J, Reece J, Kinner SA, et al. Safewards training in victoria,Australia:a descriptive analysis of two training methods and subsequent implementation[J]. J Psychosoc Nurs Ment Health Serv, 2020, 58(12):32-42. |
[20] |
James K, Quirk A, Patterson S, et al. Quality of intervention delivery in a cluster randomised controlled trial:a qualitative observational study with lessons for fidelity[J]. Trials, 2017, 18(1):548.
DOI URL |
[21] |
Higgins N, Meehan T, Dart N, et al. Implementation of the Safewards model in public mental health facilities:a qualitative evaluation of staff perceptions[J]. Int J Nurs Stud, 2018, 88:114-120.
DOI PMID |
[22] |
Lee H, Doody O, Hennessy T. Mental health nurses experience of the introduction and practice of the Safewards model:a qualitative descriptive study[J]. BMC Nurs, 2021, 20(1):41.
DOI |
[23] |
Yates NJ, Lathlean J. Exploring factors that influence success when introducing “the safewards model” to an acute adolescent ward:a qualitative study of staff perceptions[J]. J Child Adolesc Psychiatr Nurs, 2022, 35(3):218-229.
DOI URL |
[24] | Price O, Burbery P, Leonard SJ, et al. Evaluation of safewards in forensic mental health[J]. Ment Heal Pract, 2016, 19(8):14-21. |
[25] | Cabral A, Carthy J. Can safewards improve patient care and safety in forensic wards? A pilot study[J]. Br J Ment Heal Nurs, 2017, 6(4):165-171. |
[26] |
Maguire T, Ryan J, Fullam R, et al. Evaluating the introduction of the safewards model to a medium- to long-term forensic mental health ward[J]. J Forensic Nurs, 2018, 14(4):214-222.
DOI PMID |
[27] |
Fletcher J, Hamilton B, Kinner SA, et al. Safewards impact in inpatient mental health units in victoria,Australia:staff perspectives[J]. Front Psychiatry, 2019, 10:462.
DOI PMID |
[28] |
Fletcher J, Buchanan-Hagen S, Brophy L, et al. Consumer perspectives of safewards impact in acute inpatient mental health wards in victoria,Australia[J]. Front Psychiatry, 2019, 10:461.
DOI PMID |
[29] |
Kipping SM, de Souza JL, Marshall LA. Co-creation of the safewards model in a forensic mental health care facility[J]. Issues Ment Health Nurs, 2019, 40(1):2-7.
DOI URL |
[30] |
Fletcher J, Brophy L, Pirkis J, et al. Contextual barriers and enablers to safewards implementation in victoria,Australia:application of the consolidated framework for implementation research[J]. Front Psychiatry, 2021, 12:733272.
DOI URL |
[31] |
Moore GF, Audrey S, Barker M, et al. Process evaluation of complex interventions:medical research council guidance[J]. BMJ, 2015, 350:h1258.
DOI URL |
[32] | 古悦, 朱贝贝, 陶芳标. 效果-实施双轨设计的分类和应用[J]. 中国循证医学杂志, 2022, 22(1):120-124. |
Gu Y, Zhu BB, Tao FB. Classification and application of effectiveness-implementation hybrid designs[J]. Chin J Evid Based Med, 2022, 22(1):120-124. | |
[33] |
Lim E, Wynaden D, Heslop K. Recovery-focussed care:how it can be utilized to reduce aggression in the acute mental health setting[J]. Int J Ment Health Nurs, 2017, 26(5):445-460.
DOI URL |
[34] |
Cutler NA, Sim J, Halcomb E, et al. Nurses’ influence on consumers’ experience of safety in acute mental health units:a qualitative study[J]. J Clin Nurs, 2020, 29(21/22):4379-4386.
DOI URL |
[35] |
Cutler NA, Sim J, Halcomb E, et al. Understanding how personhood impacts consumers’ feelings of safety in acute mental health units:a qualitative study[J]. Int J Ment Health Nurs, 2021, 30(2):479-486.
DOI URL |
[36] |
Santangelo P, Procter N, Fassett D. Mental health nursing:daring to be different,special and leading recovery-focused care?[J]. Int J Ment Health Nurs, 2018, 27(1):258-266.
DOI URL |
[37] |
Mullen A, Isobel S, Flanagan K, et al. Motivational interviewing:reconciling recovery-focused care and mental health nursing practice[J]. Issues Ment Health Nurs, 2020, 41(9):807-814.
DOI URL |
[38] |
Mullen A, Harman K, Flanagan K, et al. Involving mental health consumers in nursing handover:a qualitative study of nursing views of the practice and its implementation[J]. Int J Ment Health Nurs, 2020, 29(6):1157-1167.
DOI URL |
[39] |
Iozzino L, Ferrari C, Large M, et al. Prevalence and risk factors of violence by psychiatric acute inpatients:a systematic review and meta-analysis[J]. PLoS One, 2015, 10(6):e0128536.
DOI URL |
[1] | 葛伟婷, 徐柳燕, 方思岚, 袁凤琴. 急性呼吸道传染病患者经鼻高流量氧疗期间医院感染防控的最佳证据总结[J]. 中华护理杂志, 2023, 58(5): 544-551. |
[2] | 陈婧怡, 胡荣, 王滨滨, 李张杰. 造血干细胞移植患者疲乏管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(5): 609-616. |
[3] | 石珂, 张海玲, 钱荣, 赵雯静, 管晓红, 汪澄, 李隽祎. 肾移植患者住院期间体力活动的循证护理实践[J]. 中华护理杂志, 2023, 58(4): 389-397. |
[4] | 郭卫婷, 刘建萍, 张晓雪, 张彬彬, 吴煜峥, 王文君. 远程心脏康复有效性及依从性的系统评价再评价[J]. 中华护理杂志, 2023, 58(4): 426-432. |
[5] | 王钰, 陈佳茵, 刘宁. 系统性红斑狼疮患者生育期保健的最佳证据总结[J]. 中华护理杂志, 2023, 58(4): 463-470. |
[6] | 江鸿展, 陈丽娟, 申嘉丽, 林慧慧. 老年患者失禁相关性皮炎危险因素的Meta分析[J]. 中华护理杂志, 2023, 58(4): 471-476. |
[7] | 徐欣怡, 唐莉, 余雅婷, 陈晓容, 毛孝容, 闵丽华. 学龄期恶性肿瘤患儿运动康复的最佳证据总结[J]. 中华护理杂志, 2023, 58(4): 477-484. |
[8] | 王荣娜, 黄修妤, 苏汐锡, 刘黄菊, 郭语籁, 郑晓燕, 高骥. 慢性疼痛患者疼痛信念研究的范围综述[J]. 中华护理杂志, 2023, 58(4): 499-506. |
[9] | 桑玉还, 严忠婷, 袁媛, 高云飞, 鞠梅. 生态瞬时评估在脑卒中患者中应用的范围综述[J]. 中华护理杂志, 2023, 58(3): 304-310. |
[10] | 朱芮, 王珠珠, 张巧仙, 庄嘉元. 急性非静脉曲张性上消化道出血患者早期经口进食效果的Meta分析[J]. 中华护理杂志, 2023, 58(3): 334-341. |
[11] | 张纤, 马秋平, 曹汝汝, 黄秀丹, 明州彦, 刘裕君. 社区老年人主观认知下降危险因素的Meta分析[J]. 中华护理杂志, 2023, 58(3): 342-348. |
[12] | 李佳倩, 强万敏, 魏婷婷, 朱明玉, 李苗苗, 沈傲梅, 武佩佩, 王盈. 乳腺癌相关淋巴水肿非药物干预的证据总结[J]. 中华护理杂志, 2023, 58(3): 349-356. |
[13] | 胡娇娇, 王建宁, 詹梦梅, 黄秋霞, 龚翠颖, 梁慧. 肠造口患者居家护理需求质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(3): 357-365. |
[14] | 杜美晨, 汪晖, 刘于, 曾铁英, 王颖, 李咪琪, 王颖. 护理人力资源配置评价指标的范围综述[J]. 中华护理杂志, 2023, 58(3): 366-373. |
[15] | 吴明珑, 周雁荣, 詹雪, 刘洪娟, 谈晶, 赵娅, 高云, 陈媛, 潘美琪, 王玮荻, 王兰. 颈椎手术患者气道梗阻预防及管理的最佳证据应用[J]. 中华护理杂志, 2023, 58(2): 133-140. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||