Shadish W R, Orwin R G, Silber B G, Bootzin R R
Eval Program Plann. 1985;8(3):239-50. doi: 10.1016/0149-7189(85)90045-x.
This article reports a survey of self-reports of well-being by chronic mental patients in nursing homes. Patients reported lower levels of well-being than the general population, but not lower than other socially disadvantaged groups including urban renewal blacks. Nursing home mental patients reported levels of well-being that were generally similar to mental patients in other settings, including day hospital patients, participants in an innovative community care program, and patients receiving traditional hospital and follow-up care. These reports were mostly unrelated to levels of symptomatology or social integration, but were strongly related to patient perceptions of the quality of the environment. Results have important implications concerning the justifications for community care goals like noninstitutional care, reduction of symptomatology, and the fostering of social integration.
本文报告了一项针对养老院慢性精神病患者幸福感自我报告的调查。患者报告的幸福感水平低于普通人群，但不低于其他社会弱势群体，包括城市重建中的黑人。养老院精神病患者报告的幸福感水平总体上与其他环境中的精神病患者相似，包括日间医院患者、参与创新社区护理项目的患者以及接受传统医院治疗和后续护理的患者。这些报告大多与症状学水平或社会融合程度无关，但与患者对环境质量的认知密切相关。研究结果对于非机构化护理、症状减轻以及促进社会融合等社区护理目标的合理性具有重要意义。
