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严重精神疾病患者出院后的需求:患者和家属的观点。

Needs of persons with serious mental illness following discharge from inpatient treatment: patient and family views.

机构信息

Johns Hopkins University, School of Nursing, 525 N. Wolfe St., Baltimore, MD 21205, USA.

出版信息

Arch Psychiatr Nurs. 2012 Aug;26(4):261-71. doi: 10.1016/j.apnu.2012.02.002. Epub 2012 Apr 11.

Abstract

Patients with serious mental illnesses often struggle with persistent symptoms that interfere with daily functioning in the community. The first days and weeks following inpatient treatment for an acute episode may be a critical time for patients to connect with the recommended community follow-up. Residual symptoms may interfere with their ability to access and benefit from these services to meet their needs. A descriptive study was conducted to explore perceptions of patients and families of patients' needs, functioning, coping and social support in the first 4 weeks after inpatient treatment. Results suggested that these patients had residual symptoms after discharge that interfered with functioning despite the availability of follow-up services. Patients identified unmet needs related to their illness. Family members identified concerns related to the lack of improvement in their ill relatives over time. Patients expressed satisfaction with care and felt supported by their families. Both patients and families seemed to lack a thorough understanding of goals for follow-up care.

摘要

患有严重精神疾病的患者常常会出现持续的症状,这些症状会干扰他们在社区中的日常功能。在因急性发作而住院治疗后的最初几天和几周,对于患者来说,与推荐的社区随访建立联系可能是一个关键时期。残留症状可能会干扰他们获得和受益于这些服务以满足其需求的能力。本描述性研究旨在探索患者及其家属在住院治疗后的头 4 周内对患者需求、功能、应对和社会支持的看法。研究结果表明,尽管有随访服务,但这些患者在出院后仍存在残留症状,这些症状会干扰其功能。患者确定了与疾病相关的未满足需求。家属则确定了对患病亲属随时间推移未见改善的担忧。患者对护理表示满意,并感到家属的支持。患者和家属似乎都对随访护理的目标缺乏全面的了解。

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