Jürgensen Martina, Patzelt Christiane, Meyer Thorsten
Universitätsklinikum Schleswig-Holstein, Institut für Sozialmedizin und Epidemiologie.
Medizinische Hochschule Hannover, Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Forschungsbereich Integrative Rehabilitationsforschung.
Psychiatr Prax. 2014 Jan;41(1):29-36. doi: 10.1055/s-0033-1343160. Epub 2013 Apr 30.
Models of integrated care (IC) have a high potential to improve psychiatric care in a sectored health care system. The present study aims to delineate differences in the perception of psychiatric care after introduction of a regional IC-model in schizophrenic patients and family caregivers.
Six focus group interviews with n = 32 schizophrenic patients and three with n = 17 family caregivers either from the region with IC-model or a nearby control region were conducted. Categories of the contents of transcribed interviews were developed and subsequently compared between persons with and without experience of IC.
Most participants of the IC-group were not aware to participate in an IC-model. Differences between IC- vs. non-IC groups were primarily related to feelings of security and experiences of flexibility of care which was ensured by the outpatient nursing service in the IC-model. This was noticeable both in daily living and in coping with crisis. No substantial differences were found with regard to the experience of cooperation of professionals, information and psychoeducation of patients as well as support for family caregivers, amongst others.
IC will play an important part in the psychiatric care of schizophrenic patients. It has the potential to integrate sustainable relations, general availability and needs-related care provision.
整合照护（IC）模式在部门化医疗体系中有很大潜力改善精神科护理。本研究旨在描述在精神分裂症患者及家庭照料者中引入区域IC模式后，他们对精神科护理认知上的差异。
对来自IC模式地区或附近对照地区的32名精神分裂症患者进行了6次焦点小组访谈，对17名家庭照料者进行了3次焦点小组访谈。对转录访谈内容进行分类，随后对有和没有IC体验的人进行比较。
IC组的大多数参与者并未意识到自己参与了IC模式。IC组与非IC组之间的差异主要与安全感以及护理灵活性体验有关，IC模式中的门诊护理服务确保了这种灵活性。这在日常生活和应对危机中都很明显。在专业人员合作体验、患者信息与心理教育以及对家庭照料者的支持等方面未发现实质性差异。
IC将在精神分裂症患者的精神科护理中发挥重要作用。它有潜力整合可持续关系、普遍可及性以及按需提供护理。
