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患有精神障碍的住院患者及其临床医生对职业目标、障碍以及克服障碍步骤的看法。

Perspectives of hospitalized patients with mental disorders and their clinicians on vocational goals, barriers, and steps to overcome barriers.

作者信息

Knaeps Jeroen, Neyens Inge, van Weeghel Jaap, Van Audenhove Chantal

机构信息

a LUCAS Centre for Care Research and Consultancy, University of Leuven , Leuven , Belgium .

b Department of Tranzo , Tilburg University , Tilburg , the Netherlands , and.

出版信息

J Ment Health. 2015 Aug;24(4):196-201. doi: 10.3109/09638237.2015.1036972. Epub 2015 Jul 24.

Abstract

BACKGROUND

People with mental disorders experience difficulties with finding competitive jobs. In countries with longer psychiatric hospitalization periods, the vocational rehabilitation process can start during hospitalization. Yet, rehabilitation can be hindered by a lack of focus by clinicians on the patients' vocational goals and a lack of agreement between clinicians and patients.

AIMS

To compare (i) vocational goals, (ii) barriers to employment and (iii) support needed to overcome barriers faced by patients.

METHOD

The paired data-set comprised 733 hospitalized patients and their 279 clinicians. Patients selected their vocational goals and clinicians indicated options that seemed realistic. Patients and clinicians indicated how many barriers exist and what support is needed to overcome barriers.

RESULTS

Almost 45% of patients prefer competitive jobs, while 32% of clinicians find this realistic, indicating a moderate relationship between patients' goals and clinicians' perceptions. Patients and clinicians also differ in their perception of the level of barriers and types of support to overcome them. Patients perceive fewer vocational barriers than clinicians and prefer less intense vocational support options.

CONCLUSIONS

Patients and clinicians have different perspectives concerning vocational recovery. Improving vocational rehabilitation requires a stronger alignment between patients and clinicians' vocational goals and barriers.

摘要

背景

患有精神障碍的人在寻找有竞争力的工作方面存在困难。在精神病住院时间较长的国家,职业康复过程可在住院期间开始。然而,康复可能会因临床医生对患者职业目标缺乏关注以及临床医生与患者之间缺乏共识而受到阻碍。

目的

比较(i)职业目标、(ii)就业障碍以及(iii)患者克服障碍所需的支持。

方法

配对数据集包括733名住院患者及其279名临床医生。患者选择他们的职业目标,临床医生指出看起来现实的选择。患者和临床医生指出存在多少障碍以及克服障碍需要何种支持。

结果

近45%的患者更喜欢有竞争力的工作,而32%的临床医生认为这是现实的,这表明患者的目标与临床医生的认知之间存在适度的关系。患者和临床医生在对障碍程度和克服障碍所需支持类型的认知上也存在差异。患者认为职业障碍比临床医生少,并且更喜欢强度较低的职业支持选项。

结论

患者和临床医生在职业康复方面有不同的观点。改善职业康复需要患者和临床医生的职业目标及障碍之间有更强的一致性。

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