Brütt Anna Levke, Magaard Julia Luise, Andreas Sylke, Schulz Holger
Department of Medical Psychology, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Medical Psychology, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Psychology Institute, Alps-Adria-University Klagenfurt, Klagenfurt, Austria.
Patient Prefer Adherence. 2016 Sep 19;10:1881-1888. doi: 10.2147/PPA.S108117. eCollection 2016.
Psychosomatic inpatient rehabilitation aims at promoting functioning in patients with mental disorders. Although generally effective, some patients do not benefit from this rehabilitation and suffer from symptoms as well as functional impairment. This study aimed to identify patient-reported factors influencing activity and participation outcomes.
Five focus groups with N=23 former psychosomatic rehabilitation inpatients were conducted. The discussions focused on facilitators and barriers of treatment outcome. The material was analyzed inductively according to qualitative content analysis. Categories were derived from the material.
Patients reported sociodemographic and clinical characteristics as well as personal factors, preparation before psychotherapy, and aspects of employment and health care as predictors of treatment success.
A wide range of possible factors that influence the course of functioning from the patients' perspective were determined. These factors can be assigned to the ICF conceptual model. Clinician and researcher perspectives may complement these factors.
身心疾病住院康复旨在促进精神障碍患者的功能恢复。尽管总体上有效，但一些患者并未从这种康复中获益，仍遭受症状困扰以及功能受损。本研究旨在确定患者报告的影响活动和参与结果的因素。
对23名曾接受身心康复治疗的住院患者进行了5次焦点小组讨论。讨论聚焦于治疗结果的促进因素和障碍因素。根据定性内容分析法对材料进行归纳分析。类别源自材料。
患者报告社会人口学和临床特征以及个人因素、心理治疗前的准备情况以及就业和医疗保健方面是治疗成功的预测因素。
从患者角度确定了影响功能恢复进程的一系列可能因素。这些因素可归入国际功能、残疾和健康分类（ICF）概念模型。临床医生和研究人员的观点可能会补充这些因素。
