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精神病患者在非自愿或自愿住院期间对精神科诊所满意度的差异。

Differences of mentally ill patients' satisfaction degree during their involuntary or voluntary stay in a psychiatric clinic.

作者信息

Goula Aspasia, Margetis Evaggelos, Stamouli Maria-Aggeliki, Latsou Dimitra, Gkioka Vasiliki

机构信息

Master of Health and Social Care Management, University of West Attica.

出版信息

J Public Health Res. 2021 Mar 26;10(3):2052. doi: 10.4081/jphr.2021.2052.

Abstract

BACKGROUND

Mental health illness is not considered as a private matter, as it affects not only the mental patient's life and those who are considered his/her immediate family, but also the society as a whole. The involuntary examination and/or hospitalization in the field of mental health as the basic first-line therapeutic solution in Greece, calls for an immediate intervention, which is supposed to counterbalance the need for therapy and patient's rights of personal freedom and safety.

DESIGN AND METHODS

A research using questionnaire was realized, consisting of 100 hospitalized patients in psychiatric clinics (50 voluntarily and 50 involuntarily hospitalized) at the Psychiatric Hospital of Attica. The sampling scheme was the stratified sampling and the level of statistical significance was set to α=0.05.

RESULTS

The results have shown that involuntarily and voluntarily hospitalized mental patients did not differ significantly with almost the entirety of the questionnaire; however, the involuntary patients were significantly more satisfied with the conditions of hospitalization as well as assessing the overall quality of the services provided during their hospitalization.

CONCLUSIONS

For mentally ill patients, greater importance and stronger correlation with gratification, does not constitute the admission procedure to the psychiatric clinic but the development of effective communication and therapeutic relationship with the staff, full knowledge and update about patient's health condition, medication, participation in therapeutic planning and hospitalization in a regime of autonomy and respect for their rights.

摘要

背景

心理健康疾病并非被视为个人私事,因为它不仅影响精神疾病患者的生活以及那些被视为其直系亲属的人,还会影响整个社会。在希腊,心理健康领域的非自愿检查和/或住院作为基本的一线治疗方案,需要立即进行干预,这种干预旨在平衡治疗需求与患者的人身自由和安全权利。

设计与方法

开展了一项问卷调查研究,调查对象为阿提卡精神病院精神科诊所的100名住院患者(50名自愿住院,50名非自愿住院)。抽样方案为分层抽样,统计学显著性水平设定为α = 0.05。

结果

结果显示,几乎在整个问卷方面,非自愿住院和自愿住院的精神患者并无显著差异;然而,非自愿住院患者对住院条件以及对住院期间所提供服务的整体质量评估明显更为满意。

结论

对于精神疾病患者而言,与满足感关联更为重要且更为紧密的,并非进入精神科诊所的入院程序,而是与医护人员建立有效的沟通和治疗关系、全面了解并更新患者的健康状况、用药情况、参与治疗规划以及在尊重其权利的自主制度下住院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4b6/8239621/3cd5e888a48a/jphr-10-3-2052-g001.jpg

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