Siu B W M, Tsang M M Y, Lee V C K, Liu A C Y, Tse S, Luk H S M, Lo N K Y, Lo P H, Leung Y L
Department of Psychiatry, Castle Peak Hospital, Hong Kong, SAR, People's Republic of China.
Department of Forensic Psychiatry, Castle Peak Hospital, 15 Tsing Chung Koon Road, Tuen Mun, New Territories, Hong Kong.
BMC Psychiatry. 2016 Jul 12;16:236. doi: 10.1186/s12888-016-0959-6.
Exploration of the information and participation needs of psychiatric inpatients is an important step for the implementation of recovery-oriented mental health service. The objective of this study was to explore the information and participation needs of Chinese psychiatric inpatients in the largest psychiatric hospital in Hong Kong.
The study was divided into two parts. In the first part, eight focus groups with patients, patients' relatives and healthcare professionals were held to identify 22 items of information needs and 16 items of participation needs of Chinese psychiatric inpatients. Basing on the items identified in the first part of the study, a questionnaire was developed to survey on the importance of the different information and participation needs in the second part of the study. Participants were asked to rate in rank order their perceived importance of the items in the questionnaire survey.
A hundred and eighty three Chinese psychiatric inpatients completed the questionnaire and the majority of them suffered from schizophrenia (68.3 %). For information needs, the top three needs rated by patients as the most important in descending order were: "Information on the classifications of mental illnesses, signs and symptoms and factors contributing to relapse", "Information on the criteria and arrangements for discharge", and "Information on the importance of psychiatric drug taking and its side effects". For participation needs, the top three needs rated by patients as the most important in descending order were: "Enquiring about personal needs and arrangements", "Keeping in touch with the outside world", and "Learning and practising self-management".
This study reveals that Chinese psychiatric inpatients are concerned about information on their mental illness and its treatments as well as the criteria for discharge. On the other hand, patients are concerned about their personal needs, their self-management, as well as their keeping in touch with the outside world during their hospitalisation. Moreover, patients with different socio-demographic and clinical characteristics have different information and participation needs. The results of the present study serve as a reference for designing guidelines, strategies, and programmes to meet the information needs and participation needs of psychiatric inpatients in Hong Kong.
探索精神科住院患者的信息及参与需求是实施以康复为导向的精神卫生服务的重要一步。本研究的目的是探究香港最大的精神科医院中中国精神科住院患者的信息及参与需求。
本研究分为两个部分。第一部分，与患者、患者亲属和医护人员进行了8个焦点小组讨论，以确定中国精神科住院患者的22项信息需求和16项参与需求。基于研究第一部分确定的项目，编制了一份问卷，用于在研究的第二部分调查不同信息及参与需求的重要性。参与者被要求对问卷中各项的重要性进行排序。
183名中国精神科住院患者完成了问卷，其中大多数患有精神分裂症（68.3%）。对于信息需求，患者认为最重要的前三项需求按降序排列为：“精神疾病的分类、症状及复发因素的信息”、“出院标准及安排的信息”、“精神科药物服用的重要性及其副作用的信息”。对于参与需求，患者认为最重要的前三项需求按降序排列为：“询问个人需求及安排”、“与外界保持联系”、“学习和实践自我管理”。
本研究表明，中国精神科住院患者关注有关其精神疾病及其治疗的信息以及出院标准。另一方面，患者关注住院期间的个人需求、自我管理以及与外界的联系。此外，具有不同社会人口统计学和临床特征的患者有不同的信息及参与需求。本研究结果为设计满足香港精神科住院患者信息需求和参与需求的指南、策略及项目提供了参考。
