Development of acute care protocol to promote community living among psychiatric patients in Japan

点击翻译按钮获取中文摘要

The purpose of this paper is to describe the nursing care for patients with mental illness at an acute care treatment unit in a praivate psychiatric hospital. This paper compares the nursing care for patients readmitted within 3 month after discharge (Group A) with nursing care for patients remain in the community more than 3 month after their initial discharge(Group B). Fourteen primary nurses were interviewed about intentional nursing care at an acute care treatment unit. They discussed the nursing care given to 47 patients. Those same 47 patients were also interviewed about self-care at home after discharge. The nurses and patients agreed to this study and they cooperated fully. Data were collected between Aug.1 and Oct.31 in 2000.The nursing care at the acute care treatment unit were (1)to monitor symptoms and serf care, (2)to monitor effects and side effects of medication, (3)to create a sage environment, (4)to understand how patients control their own symptoms, (5)to recognize the relationship between symptoms and self-care, (6)to support other people who interact with patients at home, (7)to find financial support, (8)to expand serf-care to meet each patient's individual needs, (9)to help create a patient support-system at home. In group B, nurses were able to influence every category of nursing care, but in group A, nurses were unable to influence nursing category of (5)to(9). Furthermore,in group A, nurse were unable to obtain important information which allow them to influence the quality of the family support system. Based on the previous research nursing care ptorocal had been developed and it had been done between Oct. in 2002 and Jan. in 2002, That nursing care protocol made nurses easy to cooperate with muitidisciplinary team and community nurses. Furthermore nurses were easy to take care of patients's family. These results were discussed from the view point of limitation of this study.