Östman Margareta, Björkman Tommy
Faculty of Health and Society, Malmö University, Malmö, Sweden,
Community Ment Health J. 2014 Nov;50(8):926-31. doi: 10.1007/s10597-014-9710-2. Epub 2014 Feb 16.
The object of this paper was to investigate the experiences of patients with severe mental illness (SMI) living in a community, including their utilization of care and treatment services. Psychiatric care and social services staff members were asked to make an inventory of those they served in two districts of Malmö, Sweden. Participants had to be over 18 years of age and unable to manage their daily lives without help from others. Almost all of the 80 participants (95 %) were under psychiatric care. A majority (86 %) was receiving dental treatment, and 61 % were supported by social services. Fifty-four percent of the participants received somatic care on an ongoing basis. Although the majority reported the care given as sufficient, one-third of this SMI population considered the care and support they received to be insufficient. Satisfying those who are dissatisfied with the care they are being given would be a significant challenge for service providers, since the unsatisfied are shown to have more difficult lives.
本文的目的是调查居住在社区中的重度精神疾病（SMI）患者的经历，包括他们对护理和治疗服务的利用情况。瑞典马尔默两个区的精神科护理和社会服务工作人员被要求对他们所服务的对象进行清点。参与者必须年满18岁，且在没有他人帮助的情况下无法自理日常生活。80名参与者中几乎所有人（95%）都在接受精神科护理。大多数人（86%）正在接受牙科治疗，61%得到了社会服务的支持。54%的参与者持续接受躯体护理。尽管大多数人报告所提供的护理足够，但这一重度精神疾病人群中有三分之一认为他们所得到的护理和支持不足。满足那些对所接受护理不满意的人对服务提供者来说将是一项重大挑战，因为不满意的人生活更为艰难。
