Richter Matthias, Schmid-Ott Gerhard, Muthny Fritz A
Institut für Medizinische Psychologie, Universitätsklinikum Münster.
Z Psychosom Med Psychother. 2011;57(1):91-9. doi: 10.13109/zptm.2011.57.1.91.
The study assesses patient satisfaction and investigates the correlation between patient satisfaction and the setting and attainment of goals.
Cross-sectional questionnaire-based assessment data were provided anonymously by 276 patients at the end of their inpatient stay in psychosomatic rehabilitation. Patient satisfaction as well as sociodemographic, disease-related, and outcome parameters including rehabilitation goals were assessed at the beginning of rehabilitation and their attainment at the end of rehabilitation.
Goal-attainment scales based on factor analysis showed a high degree of goal-attainment with respect to "lifestyle and priorities" and "psychotherapeutic goals." Patient satisfaction correlated most significantly with the goal-attainment level at the end of rehabilitation (r=.62) and the subscale "attainment of psychotherapeutic goals" (r=.57). Nonattainment of goals (r=-.55) was more closely related with patient satisfaction than the attainment (r=.40).
The results confirm the central role of goal-setting and goal-attainment in rehabilitation, and reveal the necessity of goal-setting assessment of goal-attainment in the process of rehabilitation.
本研究评估患者满意度，并调查患者满意度与目标设定及达成之间的相关性。
276名患者在身心康复住院治疗结束时以匿名方式提供了基于问卷调查的横断面评估数据。在康复开始时评估患者满意度以及社会人口统计学、疾病相关和包括康复目标在内的结果参数，并在康复结束时评估目标达成情况。
基于因子分析的目标达成量表显示，在“生活方式和优先事项”以及“心理治疗目标”方面目标达成程度较高。患者满意度与康复结束时的目标达成水平相关性最为显著（r = 0.62），与子量表“心理治疗目标的达成”相关性也最为显著（r = 0.57）。目标未达成（r = -0.55）与患者满意度的关系比目标达成（r = 0.40）更为密切。
结果证实了目标设定和目标达成在康复中的核心作用，并揭示了在康复过程中对目标达成进行目标设定评估的必要性。
