Fritz W B
Hosp Community Psychiatry. 1981 Nov;32(11):791-5. doi: 10.1176/ps.32.11.791.
A questionnaire survey of 51 patients voluntarily admitted to a Canadian psychiatric hospital was used to obtain their views of discussions they held with hospital staff about major treatment decisions, including whether selected treatment issues were discussed. Patients indicated that they most frequently discussed admission or discharge rather than inhospital treatment decisions with staff, that they most frequently discussed the advantages rather than the disadvantages associated with a decision, and that they were largely satisfied with staff consultation about admission and discharge but not about inhospital treatment decisions. The findings indicate that the patients were not informed enough about inhospital treatment to be able to give a valid consent for treatment. Patient, staff, and organizational factors that can impede staff-patient communication about treatment decisions are discussed.
对51名自愿入住加拿大一家精神病医院的患者进行了问卷调查，以了解他们对与医院工作人员就重大治疗决策进行讨论的看法，包括是否讨论了选定的治疗问题。患者表示，他们与工作人员讨论最多的是入院或出院，而非住院治疗决策；他们讨论最多的是决策的优点而非缺点；他们对工作人员关于入院和出院的咨询基本满意，但对住院治疗决策的咨询不满意。研究结果表明，患者对住院治疗了解不足，无法给出有效的治疗同意。文中还讨论了可能阻碍医患就治疗决策进行沟通的患者、工作人员和组织因素。
