Røssberg J I, Melle I, Opjordsmoen S, Friis S
Department of Psychiatry, Ullevål University Hospital, Oslo, Norway.
Nord J Psychiatry. 2006;60(2):176-80. doi: 10.1080/08039480600583894.
The aim of this study was to examine to what extent the different subscales of the Ward Atmosphere Scale (WAS) are related to patient satisfaction on wards for psychotic patients. We wanted to examine if it was possible to replicate previous findings from cross-sectional studies and improve the understanding of which of the WAS subscales that should be considered the most important for patient satisfaction. From 1981 through 2000, the ward atmosphere, in an acute psychiatric ward, was evaluated 11 times with the Ward Atmosphere Scale (WAS). A total of 129 patients completed the WAS as well as a General Satisfaction Index (GSI) comprising three items. Z-scores were calculated to describe the fluctuations in the GSI and the WAS subscales. Four of the WAS subscales, Involvement, Practical orientation, Angry and aggressive behavior and Staff control, strongly co-varied with patient satisfaction. Unexpectedly, the Support and Order and organization subscales correlated only moderately with patient satisfaction. The remaining five WAS subscales (Spontaneous behavior, Autonomy, Personal problem orientation, Program clarity and Staff attitude to expressed feelings) were only weakly correlated with patient satisfaction. This study confirms that four of the six assumedly most important WAS subscales are strongly related to patient satisfaction on wards for psychotic patients. Changes in these WAS subscales seems to be paralleled by changes in patient satisfaction in the expected direction.
本研究的目的是考察病房氛围量表（WAS）的不同子量表在多大程度上与精神病患者病房中的患者满意度相关。我们想检验是否有可能复制横断面研究的先前发现，并增进对WAS的哪些子量表对患者满意度最为重要的理解。从1981年到2000年，在一个急性精神科病房中，使用病房氛围量表（WAS）对病房氛围进行了11次评估。共有129名患者完成了WAS以及一个包含三个项目的总体满意度指数（GSI）。计算Z分数以描述GSI和WAS子量表的波动情况。WAS的四个子量表，即参与度、实际导向、愤怒和攻击行为以及 staff control（此处可能有误，推测为“ staff support控制”之类的，暂按字面翻译），与患者满意度高度共变。出乎意料的是，支持和秩序与组织子量表与患者满意度仅呈中度相关。其余五个WAS子量表（自发行为、自主性、个人问题导向、项目清晰度和 staff attitude to expressed feelings（此处可能有误，推测为“ staff attitude to expressed emotions”之类的，暂按字面翻译））与患者满意度仅呈弱相关。本研究证实，六个假定最重要的WAS子量表中的四个与精神病患者病房中的患者满意度密切相关。这些WAS子量表的变化似乎与患者满意度在预期方向上的变化平行。 （需注意部分内容可能因原文表述不太准确导致翻译稍显生硬，比如两个疑似有误的部分）
