Das Erleben der Aufnahme in eine psychiatrische Klinik

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• 作者：Prof. Dr. M. Driessen (1)
  J. Wertz (1)
  T. Steinert (2)
  R. Borbé (2)
  B. Vieten (3)
  A. Diefenbacher (4)
  S. Urban (1)
  K.T. Kronmüller (5)
  M. L?hr (5)
  D. Richter (6)
  F. Hohagen (7)
  
• 关键词：Psychiatrie ; Klinik ; Aufnahme ; Patienten ; Fragebogen ; Psychiatry ; Clinic ; Admission ; Patients ; Questionnaire
• 刊名：Der Nervenarzt
• 出版年：2013
• 出版时间：January 2013
• 年：2013
• 卷：84
• 期：1
• 页码：45-54
• 全文大小：699KB
• 参考文献：1. Borbé R, Klein A, Onnen M et al (2010) Subjektives Erleben der Aufnahmesituation in einer psychiatrischen Klinik aus Sicht der Patienten. Psychiatr Prax 37:20-6 CrossRef
  2. Bortz J, D?ring N (2006) Forschungsmethoden und Evaluation. 3. Aufl. Springer, Heidelberg
  3. Day JC, Bentall RP, Roberts C et al (2005) Attitudes toward antipsychotic medication. The impact of clinical variables and relationships with health professionals. Arch Gen Psychiatry 62:717-24 CrossRef
  4. Faul F, Erdfelder E, Lang AG, Buchner A (2007) G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39:175-91 CrossRef
  5. Fu JC, Chow PP, Lam LC (2008) The experience of admission to psychiatric hospital among Chinese adult patients in Hong Kong. BMC Psychiatry 8:86 CrossRef
  6. Jones A, Crossley D (2008) In the mind of another shame and acute psychiatric inpatient care: an exploratory study. A report on phase one: service users. J Psychiatr Ment Health Nurs 15:749-57 CrossRef
  7. Katsakou C, Marougka S, Garabette J et al (2011) Why do some voluntary patients feel coerced into hospitalisation? A mixed-methods study. Psychiatry Res 187:275-82 CrossRef
  8. Newton-Howes G, Mullen R (2011) Coercion in psychiatric care: systematic review of correlates and themes. Psychiatr Serv 62:465-70 CrossRef
  9. Pollitt PA, O’Connor DW (2008) What was good about admission to an aged psychiatry ward? The subjective experiences of patients with depression. Int Psychogeriatr 20:628-40 CrossRef
  10. Svindseth MF, Dahl AA, Hatling T (2007) Patients-experience of humiliation in the admission process to acute psychiatric wards. Nord J Psychiatry 61:47-3 CrossRef
  11. Wertz J, Hohagen F, Borbé R et al (2012) Das Erleben der Aufnahme in eine psychiatrische Klinik: I. Entwicklung eines Fragebogens (FEA-P). Nervenarzt (submitted)
  
• 作者单位：Prof. Dr. M. Driessen (1)
  J. Wertz (1)
  T. Steinert (2)
  R. Borbé (2)
  B. Vieten (3)
  A. Diefenbacher (4)
  S. Urban (1)
  K.T. Kronmüller (5)
  M. L?hr (5)
  D. Richter (6)
  F. Hohagen (7)
  
  1. Klinik für Psychiatrie u. Psychotherapie, Evangelisches Krankenhaus Bielefeld, Remterweg 69/71, 33617, Bielefeld, Deutschland
  2. ZfP Südwürttemberg Weissenau, Ravensburg, Deutschland
  3. LWL-Klinikum Paderborn, Paderborn, Deutschland
  4. Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Ev. Krankenhaus K?nigin Elisabeth Herberge, Berlin, Deutschland
  5. LWL-Klinikum Gütersloh, Gütersloh, Deutschland
  6. Berner Fachhochschule, Fachbereich Gesundheit, Bern, Schweiz
  7. Klinik für Psychiatrie und Psychotherapie, Universit?tsklinikum Schleswig-Holstein, Campus Lübeck, Schleswig-Holstein, Deutschland
  

文摘

Background The purpose of this study was to investigate associations of patient’s scores in the newly constructed questionnaire on patients-psychiatric admission experiences (QAE-P) and individual, institutional, and situational factors. Patients and methods Data of 708 patients and 6 participating hospitals were analyzed. Patient characteristics between clinics were compared and univariate as well as multivariate analyses were applied to examine associations of QAE-P total score and individual as well as institutional variables (t tests, univariate and multivariate analyses of variance, correlation analyses, and effect sizes of significant associations). Results There was little variance of patient characteristics between hospitals. Multiple univariate associations with small to medium effect sizes were found between total QAE-P scores and demographic and clinical variables of the patients, institutional variables, and (non-independent) situational views of the patients. After multivariate analyses were applied, these associations remained significant for gender, age, diagnosis, the personal decision to be admitted, and for previous planning of admission with the outpatient doctor. The hospital variables shown to be associated with total QAE-P scores were open versus closed ward, disorder-specific organization of the ward, and the number of other patients being treated under the German Mental Health Act. Conclusion Principally the QAE-P seems to be a suitable instrument of quality management. A number of factors were identified that show associations with the subjective evaluation of admission as reported by the patients. Some of these variables are within the control of the clinical management.