Nair V, Pennefather D, Rowsudeen M T, Yap S K
Department of General Psychiatry, Institute of Mental Health/Woodbridge Hospital, Singapore.
Singapore Med J. 1997 Nov;38(11):480-4.
The aim of this study was to identify factors that contributed to the chronic patient's quality of life from both the patients' and staff's point of view. We were also interested in any lack of congruence between staff and patient perception as these could have significant implications for planning long-term care.
Fifty of the patients under the Day Release Scheme at View Road Hospital and their staff were given a modified questionnaire concerning the patients' quality of life.
Generally the patients reported satisfaction with life domain items covering their living conditions. The majority felt safe in the current setting, enjoyed their work, their regular outings and parole to the nearby shopping centers. Significant differences were observed between the staff and patients' perception in life domain items relating to general well-being, knowledge and education, relationships, in-patient care, leisure and vocational rehabilitation. The staff group perceived having good food, money, good treatment and in employment as being important to their patients' well-being. Patients emphasised having money, family support or a partner, being employed, having time for recreational activities and eating good food. Having good health, medication and feeling at peace were also considered important by many of our patient.
The findings of the study are discussed with regard to implications in planning rehabilitation services and improving the quality of care given to patients.
本研究旨在从患者和工作人员的角度确定影响慢性病患者生活质量的因素。我们还关注工作人员与患者认知之间是否存在不一致，因为这可能对长期护理规划产生重大影响。
对观景路医院日间出院计划下的50名患者及其工作人员进行了一份关于患者生活质量的改良问卷调查。
总体而言，患者对涵盖其生活条件的生活领域项目表示满意。大多数人在当前环境中感到安全，享受工作、定期外出活动以及前往附近购物中心的假释机会。在与总体幸福感、知识与教育、人际关系、住院护理、休闲和职业康复相关的生活领域项目中，工作人员和患者的认知存在显著差异。工作人员群体认为拥有良好的食物、金钱、良好的治疗和就业对患者的幸福感很重要。患者强调拥有金钱、家庭支持或伴侣、就业、有时间进行娱乐活动以及吃好的食物。许多患者还认为拥有良好的健康、药物治疗和内心平静很重要。
就规划康复服务和提高给予患者的护理质量的影响对本研究结果进行了讨论。
