Department of Healthcare Administration, College of Health Science, Asia University, 500, Lioufeng Rd., Wufong, Taichung 413, Taiwan.
Community Ment Health J. 2011 Aug;47(4):415-23. doi: 10.1007/s10597-010-9336-y. Epub 2010 Jul 7.
This study interviewed 182 pairs of patients and caregivers to explore the needs and demands for community programs for patients with chronic mental illness and to detect the factors associated with them. The most needed and demanded programs were structured day services (69.2 vs. 78.6%), club house (71.4 vs. 74.2%), and caregiver support (72.5 vs. 74.7%). The needs and demands perceived by both patients and caregivers ranged from 3.3 to 31.9%, while those perceived by either patients or caregivers ranged from 25.8 to 72.5%. Needs and demands for individual programs were higher in caregivers (67, 65.9%) than in patients (41.2, 42.9%) and the proportion of demand (42.3-78.6%) for the eight programs was greater than the need (25.8-72.5%) for programs. The results showed that married and younger caregivers needed and demanded active community programs and the patients with a higher level of education favored a club house with high autonomy.
本研究访谈了 182 对患者及其照顾者,以探讨他们对慢性精神疾病患者社区项目的需求和诉求,并发现与这些需求和诉求相关的因素。最需要和需求的项目是结构化日间服务(69.2%比 78.6%)、会所(71.4%比 74.2%)和照顾者支持(72.5%比 74.7%)。患者和照顾者双方都认为需要和需求的范围在 3.3 到 31.9%之间,而仅患者或照顾者一方认为需要和需求的范围在 25.8 到 72.5%之间。对于个别项目,照顾者的需求(67%,65.9%)高于患者(41.2%,42.9%),对于八个项目的需求比例(42.3-78.6%)高于项目的需求比例(25.8-72.5%)。结果表明,已婚和年轻的照顾者需要和需求积极的社区项目,而教育程度较高的患者则喜欢自主性较高的会所。