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精神科医疗中的患者隔离

Patient isolation in psychiatric healthcare.

作者信息

Bażydło Marta, Giezek Marta, Zabielska Paulina, Flaga-Gieruszyńska Kinga, Karakiewicz Beata

机构信息

Zakład Prawa Medycznego Katedry Medycyny Społecznej Pomorskiego Uniwersytetu Medycznego w Szczecinie.

Zakład Medycyny Społecznej i Zdrowia Publicznego Katedry Medycyny Społecznej Pomorskiego Uniwersytetu Medycznego w Szczecinie.

出版信息

Psychiatr Pol. 2019 Dec 31;53(6):1365-1378. doi: 10.12740/PP/OnlineFirst/89744.

DOI:10.12740/PP/OnlineFirst/89744
PMID:32017823
Abstract

OBJECTIVES

To discover the opinions of psychiatric patients about personnel attitudes and family participation in the treatment process.

METHODS

219 psychiatric patients took part in the study: 80 inpatients, 69 outpatients and 70 mental health clinic patients. The diagnostic survey method was applied using a patient questionnaire regarding: (1) the patient's opinion on his or her hospital stay as an inpatient, (2) the patient's opinion on his or her care as a hospital outpatient, mental health clinic patient, or community treatment patient, and (3) research on patient satisfaction with the administered medical service VSSS-54.

RESULTS

81.25% of patients confirmed receiving mental support during treatment at inpatient departments, compared to 88.41% of patients in outpatient hospital treatment and 84.29% of patients at mental health clinics. Hospital inpatients and mental health clinic patients indicated the doctor as the person providing the greatest amount of support; whereas hospital outpatients indicated a therapist. The majority of hospital inpatients (76.25%) indicated that nurses spent sufficient time with them. The rate of positive responses regarding doctors was 61.25% (p =0.000). 66.67% of hospital outpatients indicated that personnel spent sufficient time with them, whereas among mental health clinic patients this figure was 57.14%. Hospital outpatients and mental health clinic patients were asked abouttheir satisfaction with inclusion of family in the treatment process. The respondents gave this aspect of care a mean rating of 3.807 points (out of 5 available).

CONCLUSIONS

In order to increase mental health patient satisfaction, some organisational solutions which would result in both an increase in time spent by the personnel in contact with the patient as well as greater inclusion of family in the treatment process should be implemented.

摘要

目的

了解精神科患者对医护人员态度以及家庭参与治疗过程的看法。

方法

219名精神科患者参与了本研究,其中80名住院患者、69名门诊患者和70名心理健康门诊患者。采用诊断性调查方法,使用患者问卷,内容涉及:(1)患者对其住院治疗的看法;(2)患者对其作为门诊患者、心理健康门诊患者或社区治疗患者所接受护理的看法;(3)对患者对所接受医疗服务VSSS - 54满意度的调查。

结果

81.25%的住院患者确认在住院治疗期间得到了精神支持,相比之下,门诊治疗患者的这一比例为88.41%,心理健康门诊患者为84.29%。住院患者和心理健康门诊患者表示医生给予的支持最多;而门诊患者则认为是治疗师。大多数住院患者(76.25%)表示护士与他们相处的时间足够。对医生的肯定回答率为61.25%(p = 0.000)。66.67%的门诊患者表示医护人员与他们相处的时间足够,而心理健康门诊患者的这一比例为57.14%。门诊患者和心理健康门诊患者被问及他们对家庭参与治疗过程的满意度。受访者对这方面护理的平均评分为3.807分(满分5分)。

结论

为了提高精神科患者的满意度,应实施一些组织性解决方案,以增加医护人员与患者接触的时间,并让家庭更多地参与治疗过程。

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