Sicherheit, therapeutischer Halt und Patientenzusammenhalt auf geschlossenen, neu geöffneten und offenen psychiatrischen Stationen

Zusammenfassung

Ziel der Studie war es, Stationsklima, Sicherheit, therapeutischen Halt und Patientenzusammenhalt auf geschlossenen, neu geöffneten und offenen Stationen zu vergleichen.

Methodik: Untersuchung der Zielparameter mittels Essen Climate Evaluation Schema.

Ergebnisse: Das globale Stationsklima (p < 0,001), die Sicherheit (p < 0,001) und der Patientenzusammenhalt (p < 0,001) auf den neu geöffneten Stationen wurden als signifikant besser bewertet als auf den anderen Stationen.

Schlussfolgerung: Die Öffnung von Stationen ist geeignet, zur Etablierung eines therapiefördernden Behandlungsklimas beizutragen.

Abstract

Objective: To compare ward atmosphere, safety, therapeutic hold, and patients’ coherence on closed, recently opened, and open psychiatric wards.

Methods: Ward atmosphere on two closed, two recently opened, and two permanently open wards was examined using the Essen Climate Evaluation Schema (EssenCES), and structural as well as clinical data were extracted.

Results: Global ward atmosphere (p < 0.001), safety (p < 0.001), and patients’ coherence (p < 0.001) on the recently opened wards were significantly higher than on the closed and permanently open wards. No significant differences were found regarding therapeutic hold. Recently opened wards had the highest occupancy, and there were no significant differences regarding severity of illness.

Conclusion: Opening closed psychiatric wards can help establish a positive therapeutic atmosphere without omitting more severely ill patients or endangering patients and therapists.

Schlüsselwörter

Akutpsychiatrie - Behandlungsklima - geschlossene Stationsführung - Stationsatmosphäre - Türöffnung

Keywords

acute psychiatry - closed ward - open doors policy - therapeutic climate - ward atmosphere

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