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老年期抑郁症患者的未满足护理需求、护理提供情况和患者满意度:一项横断面研究。

Unmet care needs, care provision and patient satisfaction in patients with a late life depression: a cross-sectional study.

机构信息

a Department of Clinical-, Neuro- and Developmental Psychology , Vrije Universiteit Amsterdam , 1081 BT , Netherlands.

b Department of old age psychiatry , Altrecht specialists in Mental Health Care , Zeist , 3705 WH , Netherlands.

出版信息

Aging Ment Health. 2019 Apr;23(4):491-497. doi: 10.1080/13607863.2018.1426716. Epub 2018 Jan 22.

DOI:10.1080/13607863.2018.1426716
PMID:29356572
Abstract

BACKGROUND

Research has shown that some 30% of total care needs in people with late-life depression (LLD) are unmet. It is not known to what extent patients actually don't receive any care for these needs or consider the care to be insufficient and their satisfaction with the provided care.

AIM

The aim of this study is to obtain insight into the care provided in relation to the reported unmet care needs and satisfaction with the total care provided is examined.

METHOD

A cross-sectional study of 99 people with LLD in an ambulatory setting.

RESULTS

In 67% of patients, at least one unmet need was ascertained. In most cases (80%) care was actually provided for those needs by professionals and/or informal caregivers. Patients were satisfied with the care delivered for 81% of the reported care needs. Satisfaction was lowest for social care needs (67%). For six specific care needs it was demonstrated that dissatisfied patients were significantly more depressed than satisfied patients.

CONCLUSION

Even though patients might receive care for certain needs, this does not mean that their needs are met. A substantial proportion of patients with LDD feel that they need additional help for unmet needs.

摘要

背景

研究表明,在患有老年期抑郁症(LLD)的人群中,约有 30%的总体护理需求未得到满足。目前尚不清楚患者实际上是否没有得到任何针对这些需求的护理,或者他们认为护理不足,以及对所提供护理的满意度。

目的

本研究旨在深入了解针对报告的未满足护理需求所提供的护理,并检查对总体护理提供的满意度。

方法

对 99 名在门诊环境中患有 LLD 的患者进行横断面研究。

结果

在 67%的患者中,至少确定了一个未满足的需求。在大多数情况下(80%),专业人员和/或非正式照顾者实际上为这些需求提供了护理。患者对报告的护理需求中的 81%表示满意。对社会护理需求的满意度最低(67%)。对于六个特定的护理需求,研究表明,不满意的患者比满意的患者明显更抑郁。

结论

即使患者可能得到了针对某些需求的护理,也并不意味着他们的需求得到了满足。相当一部分患有 LDD 的患者认为他们需要额外的帮助来满足未满足的需求。

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