Noble L M, Douglas B C, Newman S P
Department of Psychiatry and Behavioural Sciences, University College London, UK.
Acta Psychiatr Scand. 1999 Nov;100(5):321-7. doi: 10.1111/j.1600-0447.1999.tb10874.x.
A systematic review was conducted of the literature concerning patients' requests of psychiatric care in order to identify the types of requests patients make, psychiatrists' perceptions of their patients' requests, and the relationship between requests and the outcome of care.
A total of 28 published original articles which fulfilled specific inclusion criteria were reviewed.
The studies showed that there are certain core requests that patients make irrespective of the type of service attended. Patients mainly request psychological approaches, and the most common requests are for 'clarification', 'psychological expertise' and 'psychodynamic insight'. There is evidence that patients normally feel inhibited about making requests, and that psychiatrists often fail to identify what their patients want.
The majority of patients attending psychiatric services have requests which they will express when encouraged to do so, but little is known about the relationship between patients' requests and the outcome of care. Recommendations are made for future research.
对有关患者精神科护理需求的文献进行系统综述，以确定患者提出的需求类型、精神科医生对患者需求的看法以及需求与护理结果之间的关系。
共审查了28篇符合特定纳入标准的已发表原创文章。
研究表明，无论接受何种服务类型，患者都会提出某些核心需求。患者主要要求采用心理治疗方法，最常见的需求是“澄清”“心理专业知识”和“精神动力学洞察”。有证据表明，患者通常在提出需求时会感到有所顾虑，而精神科医生常常无法识别患者的需求。
大多数接受精神科服务的患者有需求，若受到鼓励，他们会表达出来，但对于患者需求与护理结果之间的关系知之甚少。对未来研究提出了建议。
