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采用患者报告的体验和结果测量评估住院精神科母婴单位。

Evaluation of an Inpatient Psychiatric Mother-Baby Unit Using a Patient Reported Experience and Outcome Measure.

机构信息

Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Gold Coast, QLD 4215, Australia.

Mater Young Adult Health Service, Mater Hospital, South Brisbane, QLD 4101, Australia.

出版信息

Int J Environ Res Public Health. 2022 May 4;19(9):5574. doi: 10.3390/ijerph19095574.

Abstract

Understanding the patient experience of admission to a psychiatric mother-baby unit (MBU) informs service improvement and strengthens patient-centered care. This study aims to examine patients' experience, satisfaction, and change in mental health status related to MBU admission. At discharge, 70 women admitted to a public MBU completed the Patient Outcome and Experience Measure (POEM), rated the usefulness of therapeutic groups, and provided written qualitative feedback. Paired sample t-tests, correlations, and thematic content analysis were completed. Women were highly satisfied with the level of care and support received, particularly for those who were voluntarily admitted. Women reported an improvement in mental health from admission to discharge. Women appreciated the staff's interpersonal skills, provision of practical skills, education, advice, support from other women, and therapeutic groups offered. Women suggested improvements such as having greater food choices, more MBU beds, more group sessions, family visitations, which had been restricted due to COVID-19, environmental modifications, and clarity of communication surrounding discharge. This study highlights the benefits of MBUs and the specific aspects of care that are favorable in treating women with mental illnesses who are co-admitted with their baby in an MBU.

摘要

了解患者入住精神科母婴单位(MBU)的体验,可以为服务改进提供信息,并加强以患者为中心的护理。本研究旨在探讨患者在 MBU 入院时的体验、满意度和心理健康状况变化。在出院时,70 名入住公立 MBU 的女性完成了患者结果和体验测量(POEM),对治疗性团体的有用性进行了评分,并提供了书面定性反馈。完成了配对样本 t 检验、相关性分析和主题内容分析。女性对所获得的护理和支持的水平非常满意,尤其是那些自愿入院的女性。女性报告称,从入院到出院,心理健康状况有所改善。女性赞赏工作人员的人际交往能力、提供实用技能、教育、建议、来自其他女性的支持以及提供的治疗性团体。女性提出了一些改进建议,如增加食物选择、增加 MBU 床位、增加团体会议、家庭探视,由于 COVID-19 的限制,还需要对环境进行修改,并明确与出院相关的沟通。本研究强调了 MBU 的益处,以及在治疗与婴儿共同入住 MBU 的精神疾病女性方面,护理的具体方面的优势。

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本文引用的文献

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Prenatal Predictors of Maternal-infant Attachment.产前预测母婴依恋。
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Patient experience of a psychiatric Mother Baby Unit.患者对精神科母婴单位的体验。
PLoS One. 2018 May 30;13(5):e0198241. doi: 10.1371/journal.pone.0198241. eCollection 2018.

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