急性精神科住院护理中的病房氛围：患者的认知、理想与满意度

Ward atmosphere in acute psychiatric in-patient care: patients' perceptions, ideals and satisfaction.

作者信息

Middelboe T, Schjødt T, Byrsting K, Gjerris A

机构信息

Department of Psychiatry, Gentofte University Hospital, Hellerup, Denmark.

出版信息

Acta Psychiatr Scand. 2001 Mar;103(3):212-9. doi: 10.1034/j.1600-0447.2001.00102.x.

DOI:10.1034/j.1600-0447.2001.00102.x

PMID:11240578

Abstract

OBJECTIVE

To investigate the relationship between patients' perception of the real and ideal ward atmosphere and their satisfaction.

METHOD

Patients filled in the Ward Atmosphere Scale (WAS, Real and Ideal Form) and a satisfaction questionnaire. Patient characteristics were derived from clinical assessments.

RESULTS

WAS ratings were almost independent of patient characteristics. Patients in locked wards perceived more anger and aggression and patients subjected to coercive measures perceived less autonomy and practical orientation. Patient satisfaction was predicted by higher scores on the WAS Relationship- and System Maintenance dimensions, explaining 41% of the variance. In particular support, order and organization predicted satisfaction. Except from the areas of anger/aggression and staff control, patients gave the 'ideal' ward higher ratings on all subscales. The perceived gap between the 'ideal' and 'real' ward explained 45% of variance in satisfaction.

CONCLUSION

Patients' perception of ward atmosphere is a clinically meaningful measure appearing to be a strong predictor of satisfaction.

摘要

目的

探讨患者对真实和理想病房氛围的认知与他们的满意度之间的关系。

方法

患者填写病房氛围量表（WAS，真实和理想形式）以及一份满意度调查问卷。患者特征来自临床评估。

结果

WAS评分几乎与患者特征无关。封闭病房中的患者感知到更多的愤怒和攻击性，而接受强制措施的患者感知到的自主性和实际导向较少。WAS关系和系统维护维度得分较高可预测患者满意度，解释了41%的方差。特别是支持、秩序和组织可预测满意度。除了愤怒/攻击性和工作人员控制方面，患者在所有子量表上对“理想”病房的评分更高。“理想”与“真实”病房之间的感知差距解释了满意度方差的45%。