Grinshpoon Alexander, Ponizovsky Alexander M
Tirat Carmel Mental Health Center, Ministry of Health, Tirat Carmel, Israel.
J Eval Clin Pract. 2008 Apr;14(2):218-25. doi: 10.1111/j.1365-2753.2007.00836.x. Epub 2007 Dec 13.
This study aimed to examine the subjective needs and their relationship with clinical symptoms, functioning and well-being of hospitalized patients with severe mental disorders.
Using the Camberwell Assessment of Need, we surveyed 52 consecutive voluntarily readmitted inpatients aged 18-65 years fulfilling the ICD-10 criteria for schizophrenia and schizoaffective disorders. Current levels of clinical symptoms, functioning and well-being were assessed using the Positive and Negative Syndrome Scale, Global Life Functioning inventory and the General Health Questionnaire, respectively. Spearman's correlation coefficients and t-test comparisons were performed to examine the relationships between the parameters of interest.
The basic needs of inpatients in food and accommodation were met in a greater extent than social needs ('sexual expression' and 'intimate relationships') and informational needs ('information on condition and treatment'). Patients' unmet needs were associated with current symptomatology severity rather than with the course of disorder.
In any course of illness, services must help patients in solution of their problem (met their needs) immediately after clinical improvement or alleviation of psychiatric symptoms.
本研究旨在调查重度精神障碍住院患者的主观需求及其与临床症状、功能状况和幸福感的关系。
我们使用坎伯韦尔需求评估量表，对52名连续自愿再次入院的18至65岁患者进行了调查，这些患者符合ICD - 10精神分裂症和分裂情感性障碍的标准。分别使用阳性与阴性症状量表、总体生活功能量表和一般健康问卷评估当前的临床症状水平、功能状况和幸福感。采用斯皮尔曼相关系数和t检验比较来检验相关参数之间的关系。
住院患者在食物和住宿方面的基本需求比社会需求（“性表达”和“亲密关系”）以及信息需求（“病情和治疗信息”）得到了更大程度的满足。患者未满足的需求与当前症状的严重程度相关，而非与疾病病程相关。
在疾病的任何阶段，服务都必须在临床改善或精神症状缓解后立即帮助患者解决问题（满足其需求）。
