Channa Roomasa, Siddiqi Mn
Department of Psychiatry Aga Khan University Hospital, Karachi, Pakistan.
BMC Psychiatry. 2008 Feb 29;8:14. doi: 10.1186/1471-244X-8-14.
The aspects of consultation that are important for psychiatric patients have always remained a less acknowledged area. The aim of this study was to identify these aspects.
A Cross-sectional, questionnaire based study was carried out in a psychiatry outpatient clinic of two tertiary care hospitals in a developing country. The patients were asked to fill out the questionnaire containing a total of 11 close-ended questions plus 1 open-ended question. They graded them as not important, important, very important or do not know. Non-psychotic patients aged 18 and above, visiting the clinic were recruited into the study before they went in for their first consultation.
The response rate of patients was 84%. More than 90% wanted the doctor to tell them the cause of their illness, talk to them about their condition, provide symptomatic relief, let them know that how long their illness would last and make the final decision about their treatment plan. Less than 20% wanted to be part of a support network. A significant 82% wanted talking therapy as part of their treatment plan.
The three issues, most important for patients were: the doctor should listen to them, make the final decision about treatment and provide symptomatic relief. Only 20% wanted to be a part of patients' support group.
对精神科患者而言重要的会诊方面一直是一个较少受到关注的领域。本研究的目的是确定这些方面。
在一个发展中国家的两家三级护理医院的精神科门诊进行了一项基于问卷调查的横断面研究。要求患者填写一份问卷，其中共有11个封闭式问题加1个开放式问题。他们将这些问题评为不重要、重要、非常重要或不知道。年龄在18岁及以上的非精神病患者在进行首次会诊前被招募到研究中。
患者的回复率为84%。超过90%的患者希望医生告知他们患病原因，与他们谈论病情，缓解症状，让他们知道疾病会持续多长时间，并对他们的治疗方案做出最终决定。不到20%的患者希望成为支持网络的一部分。高达82%的患者希望谈话治疗作为其治疗方案的一部分。
对患者最重要的三个问题是：医生应该倾听他们的意见，对治疗做出最终决定，并缓解症状。只有20%的患者希望成为患者支持小组的一员。
