Lasalvia A, Ruggeri M, Mazzi M A, Dall'Agnola R B
Department of Medicine and Public Health, University of Verona, Italy.
Acta Psychiatr Scand. 2000 Nov;102(5):366-75. doi: 10.1034/j.1600-0447.2000.102005366.x.
The present study aims to assess needs for care rated by patients and staff and their agreement on needs assessment in a community-based mental health service by using the Camberwell Assessment of Need (CAN).
The Italian version of the CAN was used in a sample of 247 patient-staff pairs.
Patients and staff showed poor agreement on both the presence of a need and on whether need had been met or not. Higher disability predicted a higher number of patient-rated needs, while higher disability, higher number of service contacts and patient unemployment predicted a higher number of staff-rated needs. Lower global functioning predicted higher disagreement in patients and staff ratings of needs.
Patients and staff show different perceptions of needs for care and therefore multiple perspectives should be taken into account for planning and providing effective needs-led mental health care.
本研究旨在通过使用坎伯韦尔需求评估量表（CAN）来评估患者和工作人员评定的护理需求以及他们在社区心理健康服务需求评估方面的一致性。
在247对患者-工作人员样本中使用了意大利语版的CAN。
患者和工作人员在需求的存在以及需求是否得到满足方面的一致性较差。较高的残疾程度预示着患者评定的需求数量较多，而较高的残疾程度、较多的服务接触次数和患者失业则预示着工作人员评定的需求数量较多。较低的整体功能预示着患者和工作人员在需求评定方面的分歧较大。
患者和工作人员对护理需求有不同的认知，因此在规划和提供有效的以需求为导向的心理健康护理时应考虑多种观点。
