Hansson L, Vinding H R, Mackeprang T, Sourander A, Werdelin G, Bengtsson-Tops A, Bjarnason O, Dybbro J, Nilsson L, Sandlund M, Sørgaard K, Middelboe T
Department of Clinical Neuroscience, Lund University, Sweden.
Acta Psychiatr Scand. 2001 Jan;103(1):45-51. doi: 10.1034/j.1600-0447.2001.00083.x.
The present study is part of a Nordic multicentre study investigating the life and care situation of community samples of schizophrenic patients. The specific aim of the present part of the study was to examine the agreement between patients and their key worker concerning the presence of met and unmet needs in a number of life domains, and help or support given in these domains.
The comparisons were based on 300 matched pairs of assessments of need using the Camberwell Assessment of Need interview.
The results showed that key workers identified slightly more needs, 6.17 vs. 5.76, a significant difference. There was a moderate or better agreement on the presence of a need in 17 of 22 life domains investigated, but in only 11 life domains concerning the presence of an unmet need. Disagreement concerning whether the patient was given the right kind of help or support was even more substantial.
It is concluded that key workers and patients disagree particularly concerning unmet needs and that this is potentially related to a number of factors associated with the key worker and patient. It is also concluded that further research is needed to increase the knowledge concerning the sources of this disagreement if need assessment is to become a valid basis for service planning and individual treatment planning.
本研究是一项北欧多中心研究的一部分，该研究旨在调查社区中精神分裂症患者的生活及护理状况。本研究这一部分的具体目的是检验患者与其关键工作人员在多个生活领域中已满足和未满足的需求的存在情况，以及在这些领域中所提供的帮助或支持方面的一致性。
比较基于使用坎伯韦尔需求评估访谈对300对匹配的需求评估。
结果显示，关键工作人员识别出的需求略多，分别为6.17项和5.76项，差异显著。在所调查的22个生活领域中的17个领域，在需求存在方面有中等或更好的一致性，但在仅11个生活领域中，对于未满足需求的存在情况有一致性。在患者是否得到了正确类型的帮助或支持方面的分歧甚至更大。
得出的结论是，关键工作人员和患者在未满足需求方面尤其存在分歧，这可能与一些与关键工作人员和患者相关的因素有关。还得出结论，如果需求评估要成为服务规划和个体治疗规划的有效基础，就需要进一步研究以增加对这种分歧来源的了解。
