1 Maivor Olsson-Tall, PhD student, RN, NU-Health Care Hospital, Trollhättan, Sweden; University of Gothenburg, Gothenburg, Sweden.
2 Fredrik Hjärthag, PhD, Karlstad University, Karlstad, Sweden.
J Am Psychiatr Nurses Assoc. 2019 May/Jun;25(3):189-199. doi: 10.1177/1078390318777785. Epub 2018 Jun 4.
The needs of people with schizophrenia are great, and having extensive knowledge of this patient group is crucial for providing the right support. The aim of this study was to investigate, over 4 years, the importance of repeated assessments by patients with schizophrenia and by professionals. Data were collected from evidence-based assessment scales, interviews, and visual self-assessment scales. The data processing used descriptive statistics, correlation and regression analyses. The results showed that the relationships between several of the patients' self-rating assessments were stronger at the 4-year follow-up than at baseline. In parallel, the concordance rate between patient assessments and case manager assessments increased. The conclusions drawn are that through repeated assessments the patients' ability to assess their own situation improved over time and that case managers became better at understanding their patients' situation. This, in turn, provides a safer basis for assessments and further treatment interventions, which may lead to more patients achieving remission, which can lead to less risk for hospitalization and too early death.
精神分裂症患者的需求巨大，因此，广泛了解这一患者群体对于提供正确的支持至关重要。本研究的目的是在 4 年内调查精神分裂症患者和专业人员重复评估的重要性。数据来自基于证据的评估量表、访谈和视觉自我评估量表。数据处理采用描述性统计、相关和回归分析。结果表明，在 4 年随访时，患者自评评估的一些关系比基线时更强。同时，患者评估与个案经理评估之间的一致性率增加。得出的结论是，通过重复评估，患者评估自身状况的能力随着时间的推移而提高，个案经理对患者状况的了解也越来越好。这反过来又为评估和进一步的治疗干预提供了更安全的基础，这可能会导致更多的患者达到缓解，从而降低住院和过早死亡的风险。
