非全日制住院治疗与污名化经历：一项关于当代精神病医院的研究
Part-time hospitalisation and stigma experiences: a study in contemporary psychiatric hospitals.
作者信息
Verhaeghe Mieke, Bracke Piet, Christiaens Wendy
机构信息
Department of Sociology, Ghent University, Korte Meer 5, 9000 Gent, Belgium.
出版信息
BMC Health Serv Res. 2008 Jun 10;8:125. doi: 10.1186/1472-6963-8-125.
BACKGROUND
Because numerous studies have revealed the negative consequences of stigmatisation, this study explores the determinants of stigma experiences. In particular, it examines whether or not part-time hospitalisation in contemporary psychiatric hospitals is associated with less stigma experiences than full-time hospitalisation.
METHODS
Survey data on 378 clients of 42 wards from 8 psychiatric hospitals are used to compare full-time clients, part-time clients and clients receiving part-time care as aftercare on three dimensions of stigma experiences, while controlling for symptoms, diagnosis and clients' background characteristics.
RESULTS
The results reveal that part-time clients without previous full-time hospitalisation report less social rejection than clients who receive full-time hospitalisation. In contrast, clients receiving part-time treatment as aftercare do not differ significantly from full-time clients concerning social rejection. No significant results for the other stigma dimensions were found.
CONCLUSION
Concerning social rejection, immediate part-time hospitalisation could be recommended as a means of destigmatisation for clients of contemporary psychiatric hospitals.
背景
由于众多研究揭示了污名化的负面后果，本研究探讨了污名化经历的决定因素。特别是，它考察了当代精神病医院的兼职住院治疗与全职住院治疗相比，是否与较少的污名化经历相关。
方法
使用来自8家精神病医院42个病房的378名患者的调查数据，在控制症状、诊断和患者背景特征的同时，比较全职患者、兼职患者以及接受兼职护理作为后续护理的患者在污名化经历的三个维度上的情况。
结果
结果显示，以前没有全职住院经历的兼职患者报告的社会排斥比全职住院患者少。相比之下，接受兼职治疗作为后续护理的患者在社会排斥方面与全职患者没有显著差异。在其他污名化维度上未发现显著结果。
结论
关于社会排斥，对于当代精神病医院的患者，可建议立即采用兼职住院治疗作为减少污名化的一种方式。
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