Reduction of adverse events in a psychiatric inpatient eating disorder unit during the COVID-19 pandemic

Simone Arbour PhD, Sayani Paul PhD, Mark Rice MSW
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引用次数: 0

Abstract

Topic

Globally, the COVID-19 pandemic had impacted the health care delivery including inpatient psychiatric facilities. Within psychiatric settings, life of inpatients was profoundly altered.

Purpose

This paper aimed to understand if pandemic-related changes within an inpatient Eating Disorder Unit in a specialized psychiatric hospital in Ontario, Canada impacted incidence of aggression and use of coercive methods among adolescents.

Source Used

An exploratory study design was used to examine incidence of aggression, self-harm, code whites, staff assist, restraints and seclusion, and nasogastric feeding (NGF) among adolescents with eating disorders before and after the modified service delivery within the inpatient unit. Descriptive analyses were conducted.

Results

Analyses revealed a complete reduction in episodes of self-harm, aggression, staff assists, use of restraint and seclusion as well as an 80.14% reduction on average use of NGF.

Conclusion

Authors speculate that the change in environment and program delivery method, peer influence, and shift in power relations between patient and staff may have resulted in improved experiences. This report provides insights to adopt a recovery-oriented service delivery for adolescents with eating disorders in inpatient settings.

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新冠肺炎大流行期间精神病住院饮食失调病房不良事件的减少。
主题:在全球范围内,新冠肺炎大流行影响了包括住院精神病设施在内的医疗保健服务。在精神科环境中,住院患者的生活发生了深刻的变化。目的:本文旨在了解加拿大安大略省一家专门精神病医院住院饮食障碍病房内与疫情相关的变化是否影响了青少年攻击和使用胁迫方法的发生率。所用资料来源:一项探索性研究设计用于检查在住院单元内提供改良服务前后,患有饮食障碍的青少年的攻击性、自残、代码白人、工作人员协助、约束和隔离以及鼻胃喂养(NGF)的发生率。进行描述性分析。结果:分析显示,自残、攻击、员工协助、使用约束和隔离的事件完全减少,NGF的平均使用减少了80.14%。结论:作者推测,环境和项目交付方法的变化、同伴影响以及患者和工作人员之间权力关系的转变可能会改善体验。本报告为在住院环境中为患有饮食障碍的青少年提供以康复为导向的服务提供了见解。
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来源期刊
CiteScore
2.90
自引率
6.70%
发文量
41
期刊介绍: Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.
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