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抑郁症和双相情感障碍患者对治疗的满意度。

Satisfaction with treatment among patients with depressive and bipolar disorders.

作者信息

Kessing Lars Vedel, Hansen Hanne Vibe, Ruggeri Mirella, Bech Per

机构信息

Dept. of Psychiatry, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2006 Feb;41(2):148-55. doi: 10.1007/s00127-005-0012-4. Epub 2006 Feb 7.

Abstract

BACKGROUND

Patients' satisfaction with care may be an important factor in relation to adherence to treatment and continued psychiatric care. Few studies have focused on satisfaction in patients with depressive and bipolar disorders.

METHOD

A comprehensive multidimensional questionnaire scale, the Verona Service Satisfaction Scale-Affective, was mailed to a large population of patients with depressive or bipolar disorders representative of outpatients treated at their first contact to hospital settings in Denmark.

RESULTS

Among the 1,005 recipients, 49.9% responded to the letter. Overall, patients were satisfied with the help provided, but satisfaction with the professionals' contact to relatives was low. Younger patients (age below 40 years) were consistently more dissatisfied with care especially with the efficacy of treatment, professionals' skills and behaviour and the information given. There was no difference in satisfaction between genders or between patients with depressive disorder and patients with bipolar disorder.

CONCLUSION

There is a need to strengthen outpatient treatment for patients discharged from a psychiatric hospital diagnosed of having affective disorders, focusing more on information and psychoeducation for patients and relatives.

摘要

背景

患者对治疗的满意度可能是影响治疗依从性和持续接受精神科护理的一个重要因素。很少有研究关注抑郁症和双相情感障碍患者的满意度。

方法

一份全面的多维问卷量表——维罗纳服务满意度量表-情感版,被邮寄给大量患有抑郁症或双相情感障碍的患者,这些患者代表了丹麦首次在医院门诊接受治疗的门诊患者。

结果

在1005名收件人中,49.9%回复了信件。总体而言,患者对所提供的帮助感到满意,但对专业人员与亲属的沟通满意度较低。年轻患者(40岁以下)对护理一直更为不满,尤其是对治疗效果、专业人员的技能和行为以及所提供的信息。性别之间以及抑郁症患者和双相情感障碍患者之间的满意度没有差异。

结论

对于从精神病医院出院的被诊断患有情感障碍的患者,有必要加强门诊治疗,更多地关注为患者及其亲属提供信息和心理教育。

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