의학적 병동에서의 환경 치료적 접근

A Milieu Therapeutic Approach of the Medically Oriented Ward

The authors conducted five times Ward Atmosphere Scale (WAS) to evaluate the therapeutic milieu according conversion from medically oriented ward to milieu therapeutic ward. With the abstracted data, was analyzed a changing process according time variable, was compared staffs perception with patient’s that of ward atmosphere. Also, to grasp the problems changing in the process of change, it was practiced participant observation, analysis of recording, individual interview with staffs. The results showed that: 1) Owing to a increase of treatment activity program, went on increasing in participation both patient and staff, but have been stagnant a improvement according time variables, have been ineffective in a introducing stage. 2) About ward atmosphere, staffs perceived relatively more negative and pessimistic than patients. 3) In conversion of treatment form, appeared a inferior understanding of staff for milieu therapy, a resistance and anxiety on conversion, and remains a transitional stage rather than a flxational stage because of inharmonious communication and insufficient cooperation for Milieu Therapy.