Ricketts T, Kirshbaum M N
Behavioural Psychotherapy Department, Community Health Sheffield, England.
J Adv Nurs. 1994 Aug;20(2):297-306. doi: 10.1046/j.1365-2648.1994.20020297.x.
Seventeen clients of a mental health day service were interviewed regarding their treatment experiences. Content analysis of this information was undertaken, and the clients then rank-ordered the reported aspects of treatment from most to least helpful. Staff undertook a similar procedure to enable clients' views to be placed in context. Both clients and staff reported counselling as the most helpful aspect of treatment. Clients and staff disagreed as to the relative helpfulness of medical and group aspects of treatment. Clients reported medical treatment as the second most helpful aspect, and staff reported groups and the planned approach to care second. Social contact with other clients was reported to be just as helpful as organized group therapy by clients. Clients identified that just having somewhere to go to meet people was very helpful. Communication difficulties between staff and clients were evident with regard to the planned approach to care, discharge planning, and group activities. The ability of clients to evaluate their treatment experiences differentially is highlighted.
针对心理健康日间服务的17位服务对象，就其治疗体验进行了访谈。对这些信息进行了内容分析，然后服务对象将报告的治疗方面按帮助程度从高到低进行排序。工作人员采取了类似的程序，以便将服务对象的观点置于相应背景中。服务对象和工作人员都报告称咨询是治疗中最有帮助的方面。在治疗的医疗和团体方面的相对帮助程度上，服务对象和工作人员存在分歧。服务对象报告称医疗治疗是第二有帮助的方面，而工作人员则将团体和护理计划方法列为第二。服务对象报告称与其他服务对象的社交接触与有组织的团体治疗一样有帮助。服务对象认为仅仅有个地方去与人见面就非常有帮助。在护理计划方法、出院计划和团体活动方面，工作人员与服务对象之间存在明显的沟通困难。这突出了服务对象有差异地评估其治疗体验的能力。
