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[临床社会工作中的质量保证:社会工作者如何评判其干预措施的成效?]

[Quality assurance in clinical social work: how do social workers judge the success of their interventions?].

作者信息

Häfner-Ranabauer W, Lotz M, Hambrecht M, Waschkowski H

机构信息

Zentralinstitut für Seelische Gesundheit, Mannheim.

出版信息

Psychiatr Prax. 1996 Sep;23(5):226-9.

PMID:8992515
Abstract

Therapy outcome is an important criterium for quality assurance. In this study, clinical social workers themselves estimated the outcome of their interventions in 2643 admissions of 2038 patients to a psychiatric hospital. These inpatients had been referred by a psychiatrist to the social worker and comprised 27 % of all patients admitted to the hospital within 11 years. The study purpose was to investigate how the outcome estimates relate to clinical and sociodemographic variables of the patients, to their specific problems, and to the applied interventions. The fewer areas of problems were perceived and the more interventions were performed, the more positive these interventions were evaluated. Administrative interventions were seen as more successful than counseling. Outcome estimates were particularly positive in long and intensive therapies.

摘要

治疗结果是质量保证的一个重要标准。在本研究中,临床社会工作者自行评估了他们对一家精神病院2038名患者的2643次入院治疗干预的结果。这些住院患者由精神科医生转介给社会工作者,占11年内该医院所有入院患者的27%。研究目的是调查结果评估如何与患者的临床和社会人口统计学变量、他们的具体问题以及所应用的干预措施相关。察觉到的问题领域越少,实施的干预措施越多,对这些干预措施的评价就越积极。行政干预被认为比咨询更成功。在长期和强化治疗中,结果评估尤其积极。

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