Tunner Timothy P, Salzer Mark S
National Association of Social Workers, Washington, DC, USA.
Adm Policy Ment Health. 2006 Nov;33(6):674-81. doi: 10.1007/s10488-006-0050-6.
Guidelines and best practices represent advances in the promotion of quality care in the treatment of schizophrenia. These efforts have been primarily developed by clinicians and academic researchers, and appropriately focus on psychopharmacological treatments. However, including other perspectives in the guideline development process may expand what is considered to be quality care. This study examines the opinions of forty individuals diagnosed with schizophrenia as to what constitutes quality treatment. Results from a thematic analysis indicate wide agreement on the importance of good psychopharmacology and case management, but respondents also emphasized the importance of a good interpersonal process, and the need for psychosocial rehabilitation supports. Current practice guideline efforts should consider including interpersonal process standards that have been demonstrated to enhance therapeutic relationships and ultimately clinical outcomes, and enhance their emphasis on psychosocial rehabilitation supports.
指南和最佳实践代表了在促进精神分裂症治疗中的优质护理方面所取得的进展。这些努力主要由临床医生和学术研究人员推动，并恰当地聚焦于心理药物治疗。然而，在指南制定过程中纳入其他观点可能会拓展被视为优质护理的范畴。本研究调查了40名被诊断为精神分裂症的个体对于优质治疗构成要素的看法。主题分析结果表明，对于良好的心理药物治疗和病例管理的重要性存在广泛共识，但受访者也强调了良好人际过程的重要性以及心理社会康复支持的必要性。当前的实践指南工作应考虑纳入已被证明能加强治疗关系并最终改善临床结果的人际过程标准，并加强对心理社会康复支持的重视。
