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首页> 外文期刊>Indian journal of psychiatry >Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses as perceived by their family caregivers and health-care providers
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Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses as perceived by their family caregivers and health-care providers

机译:印度精神病学会多中心研究评估了其家庭护理人员和医疗保健提供者认为患有严重精神疾病的患者的医疗保健需求

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Aim:To study the health-care needs of the patients with severe mental disorders as perceived by their family caregivers and the treating psychiatrists.Materials and Methods:Caregivers of patients with severe mental disorders and their treating psychiatrists were assessed using Camberwell Assessment of Need-Research Version (CAN-R) scale and indigenously designed Supplementary Assessment of Needs Scale (SNAS).Results:The study included 1494 patients recruited from 15 centers. The mean needs as per the CAN-R, perceived by the caregivers were 7.8 and treating psychiatrists were 8.1. About one-third of needs were unmet. On SNAS, both caregivers and treating psychiatrists reported a mean of 7.9 needs, of which more than half were unmet as per the caregivers. As per the treating psychiatrists, 45.5% of the needs as assessed on SNAS were unmet. There was a high level of correlation between needs perceived by the patients, caregivers and the treating psychiatrists. On CAN-R, main domains of needs as reported by the caregivers were those of money, relief of psychological distress, information about the illness and treatment, welfare benefits, transport, company and food. As per the treating psychiatrists, the most common total needs identified were those of relief of psychological distress, welfare benefits, information about the illness and treatment, money, transport, company self-care and physical health. The most common domains of needs as assessed on SNAS as per the caregivers were those of free treatment, medical reimbursement, psychoeducation, financial help, social support, insurance, more time from the clinicians and travel concession. The treating psychiatrists identified dealing with caregiver's stress as the most common need.Conclusions:According to the family caregivers and treating psychiatrists, about one-third of the needs of the patients as assessed using CAN-R and about half of the needs as assessed using SNAS are unmet.
机译:目的:研究家庭护理人员和治疗精神病医生对重度精神障碍患者的保健需求。材料与方法:使用坎伯韦尔需求评估评估重症精神障碍患者及其治疗精神病医生的护理人员研究版本(CAN-R)量表和本地设计的需求补充评估量表(SNAS)。结果:该研究包括从15个中心招募的1494例患者。护理人员认为,根据CAN-R得出的平均需求为7.8,治疗精神病医生为8.1。约有三分之一的需求未得到满足。在SNAS上,护理人员和精神科医生的平均需求为7.9,其中有一半以上未得到满足。根据治疗的精神科医生,未满足SNAS评估的需求的45.5%。患者,护理人员和治疗精神病医生的需求之间存在高度相关性。在CAN-R上,照护者报告的主要需求领域是金钱,心理困扰的缓解,有关疾病和治疗的信息,福利,运输,公司和食品。根据治疗的精神科医生,确定的最常见的总需求是缓解心理困扰,福利,有关疾病和治疗的信息,金钱,交通,公司自我保健和身体健康的需求。根据护理人员在SNAS上评估的最常见需求领域是免费治疗,医疗报销,心理教育,财务帮助,社会支持,保险,来自临床医生的更多时间和旅行优惠。结论:根据家庭护理人员和治疗精神病医生的意见,使用CAN-R评估的患者需求约占三分之一,而使用精神病治疗的评估者约占需求的一半。 SNAS未满足。

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