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探访日间中心的持续性精神病患者的生活状况:一项对比研究。

The life situation of people with persistent mental illness visiting day centers: a comparative study.

机构信息

Department of Health Sciences, Division of Occupational Therapy and Gerontology, Lund University, PO Box 157, 221 00, Lund, Sweden.

出版信息

Community Ment Health J. 2012 Oct;48(5):592-7. doi: 10.1007/s10597-011-9410-0. Epub 2011 May 10.

Abstract

This study compared the life situation of visitors of day centers (DC) for people with mental illness (N = 93) with a comparison group (N = 82) in respect of sociodemographic and clinical characteristics, care consumption, well-being and everyday activities. The response rate was 49%, and those who declined are believed to be those with the most severe psychiatric disabilities. Most individuals were single (81%/78%) and few had children (12%/18%). The DC group had less education than the comparison group but had a friend more often. Although having their need for daily activities met, the DC group had greater unmet needs in respect of daily living in general. They less frequently reported having a psychosis and had fewer negative and more depressive symptoms. They got more housing support and general outpatient care, while the comparison group used specialized psychiatric care more frequently. The samples were equally satisfied with their care, health and well-being and found their everyday activities equally meaningful. The DC visitors formed a vulnerable group, by living single, having a low level of education and having unmet needs, and were at risk of not getting specialized psychiatric care.

摘要

本研究比较了日间中心(DC)来访者(N=93)与对照组(N=82)的生活状况,比较维度包括人口统计学和临床特征、护理消费、幸福感和日常活动。回应率为 49%,而拒绝的人可能是那些患有最严重精神障碍的人。大多数人是单身(81%/78%),很少有孩子(12%/18%)。与对照组相比,DC 组的教育程度较低,但拥有朋友的频率更高。尽管 DC 组满足了日常生活活动的需求,但他们在日常生活方面的未满足需求更大。他们较少报告患有精神病,负面症状较少,抑郁症状较多。他们获得了更多的住房支持和一般门诊护理,而对照组则更频繁地使用专门的精神科护理。这两个样本对自己的护理、健康和幸福感同样满意,并且认为自己的日常活动同样有意义。DC 来访者是一个弱势群体,他们单身、教育水平低、存在未满足的需求,而且有得不到专门精神科护理的风险。

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