识别住房服务中服务使用者的概况，并探索他们的生活质量和护理需求。
Identifying profiles of service users in housing services and exploring their quality of life and care needs.
作者信息
Bitter Neis A, Roeg Diana P K, van Nieuwenhuizen Chijs, van Weeghel Jaap
机构信息
Department of Social and Behavioral Sciences, Tranzo Scientific Center for Care and Welfare, Tilburg University, PO Box 90153, 5000 LE, Tilburg, The Netherlands.
GGzE Centre for Mental Health Care, PO BOX 909, 5600 AX, Eindhoven, The Netherlands.
出版信息
BMC Psychiatry. 2016 Nov 23;16(1):419. doi: 10.1186/s12888-016-1122-0.
BACKGROUND
Housing services aim to support people with mental illness in their daily life and recovery. As the level of recovery differs between service users, the quality of life and care needs also might vary. However, the type and amount of care and support that service users receive do not always match their recovery. In order to improve the quality of care, this study aims to explore whether subgroups of service users exist based on three dimensions of recovery and to examine and compare the quality of life and care needs of the persons in these subgroups.
METHODS
Latent class analysis was performed with data from 263 service users of housing services in the Netherlands. Classes were based on three variables: personal recovery (Mental Health Recovery Measure), social recovery (Social Functioning Scale), and clinical recovery (Brief Symptom Inventory). Subsequently, the quality of life (MANSA) and care needs (CANSAS) of the different classes were analysed by the use of descriptive and inferential statistics.
RESULTS
Three classes could be distinguished. Class 1 (45%) comprised of people who score the highest of the three classes in terms of personal and social recovery and who experience the least number of symptoms. People in class 2 (44%) and class 3 (11%) score significantly lower on personal and social recovery, and they experience significantly more symptoms compared to class 1. The distinction between class 2 and 3 can be made on the significantly higher number of symptoms in class 3. All three classes differ significantly on quality of life and unmet needs.
CONCLUSIONS
The quality of life of service users of housing services needs improvement, as even persons in the best-recovered subgroup have a lower quality of life than the average population. Workers of housing services need to be aware of the recovery of a client and what his or her individual needs and goals are. Furthermore, better care (allocation) concerning mental and physical health and rehabilitation is needed. Care should be provided on all dimensions of recovery at the same time, therefore mental health care organisations should work together and integrate their services.
TRIAL REGISTRATION
ISRCTN registry ISRCTN77355880 retrospectively registered 05/07/2013.
背景
住房服务旨在支持患有精神疾病的人日常生活及康复。由于服务使用者的康复水平存在差异，其生活质量和护理需求也可能有所不同。然而，服务使用者所接受的护理和支持的类型与数量并不总是与其康复情况相匹配。为了提高护理质量，本研究旨在基于康复的三个维度探索是否存在服务使用者亚组，并检查和比较这些亚组中人员的生活质量和护理需求。
方法
对来自荷兰住房服务的263名服务使用者的数据进行潜在类别分析。类别基于三个变量：个人康复（心理健康康复量表）、社会康复（社会功能量表）和临床康复（简明症状量表）。随后，通过描述性和推断性统计分析不同类别的生活质量（MANSA）和护理需求（CANSAS）。
结果
可区分出三个类别。第1类（45%）由在个人和社会康复方面得分在三个类别中最高且症状最少的人组成。第2类（44%）和第3类（11%）在个人和社会康复方面得分显著较低，且与第1类相比，他们经历的症状明显更多。第2类和第3类的区别在于第3类的症状数量显著更多。所有三个类别在生活质量和未满足的需求方面存在显著差异。
结论
住房服务使用者的生活质量需要改善，因为即使是康复情况最佳的亚组中的人，其生活质量也低于一般人群。住房服务工作者需要了解客户的康复情况以及其个人需求和目标是什么。此外，需要在心理和身体健康及康复方面提供更好的护理（分配）。应同时在康复的所有维度上提供护理，因此精神卫生保健组织应共同努力并整合其服务。
试验注册
ISRCTN注册库ISRCTN77355880于2013年7月5日进行回顾性注册。
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