关于精神病学开放门政策的患者观点:混合方法研究
Timur Liwinski1, Robert Davidson1, Jan Sarlon1
1Clinic for Adults, Universitäre Psychiatrische Kliniken Basel, Wilhelm-Klein-Strasse 27, Basel, 4002, Switzerland, 41 782050661.
Journal of medical Internet research
|August 8, 2025
概括
精神病患者强烈喜欢开放的门政策,以提高自主权和尊严. 锁定病房在很大程度上被拒绝,突出了需要以患者为中心的护理模式,优先考虑心理健康治疗中的自由和自决.
科学领域:
- 精神病学和心理健康研究研究
- 以患者为中心的护理研究研究
- 临床心理学和治疗模式
背景情况:
- 越来越多地推精神病房的开放门政策,以减少胁迫和提高患者的自主权.
- 有限的证据表明,整合患者对病房开放性和安全措施的看法是有限的.
- 传统的定性方法可能无法完全捕捉患者对病房环境的观点的复杂性.
研究的目的:
- 系统地探索精神病患者对开放门与封闭病房治疗的看法.
- 确定关键主题并量化患者对病房开放性和安全性的偏好.
- 提供大量临床样本对治疗环境偏好的视角.
主要方法:
- 对604名前精神病医院住院患者进行了混合问卷调查.
- 该调查评估了精神病医疗服务的使用情况以及病房关系,自主性和胁迫等因素.
- 隐性迪里克莱特分配 (LDA) 主题建模用于分析开放式患者反应.
主要成果:
- 63.8%的患者将开门治疗评为"非常重要".
- 70.4%的人明确拒绝在锁定病房接受自愿治疗,只有21.0%的人接受.
- LDA确定了"限制和制度化"与"自治和自决"之间的主题.
结论:
- 精神病患者压倒性地优先考虑开放门政策,以加强自主,信任和治疗参与.
- 锁定病房带来了重大的心理和社会成本;以患者为中心的模型至关重要.
- 年龄和诊断影响对锁定环境的接受,需要针对心理健康护理的量身定制方法.
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