Zusammenfassung
Anliegen: Unser Anliegen war es, die Entlassungsbriefe mit PatientInnen, die an einer Psychose
aus dem schizophrenen Formenkreis erkrankt waren, zu besprechen und die PatientInnen
zu dieser Vorgangsweise und zum Inhalt des Briefes zu befragen. Methode: 80 PatientInnen wurden am Tag nach der Besprechung des Briefes mit einem kurzen Fragebogen
befragt. Ergebnisse: 92 % der PatientInnen befürworteten das Besprechen der Entlassungsbriefe. Am Tag
der Entlassung konnten 96 % der PatientInnen eine zutreffende Bezeichnung ihrer Erkrankung
nennen. Schlussfolgerungen: Durch Förderung des partnerschaftlichen Umganges zwischen Betroffenen und Professionellen
und durch Verbesserung der Information sehen wir in dieser Vorgangsweise auch einen
Beitrag zum „empowerment” der PatientInnen. PatientInnen sollten daher generell die
Möglichkeit erhalten, ihre Entlassungsbriefe mit den betreuenden ÄrztInnen zu besprechen.
Abstract
Objective: Our aim was to discuss referral letters with psychotic patients and to assess patients
views about this proceeding and about the letters. Also patients knowledge of their
diagnosis was assessed. Methods: The day after discussing the letter 80 patients were evaluated with a short questionnaire.
Results: 92 % of patients responded very positively to the discussion of the referral letter.
Many patients appreciated the transparency and information and stated, that it improved
the understanding of the illness and the doctor-patient-relationship. The day of hospital
discharge 96 % of patients were able to name the exact diagnosis or an adequate replacement.
Conclusions: Our results show, that the majority of psychotic patients - in contrast to previous
experiences - responded very favourably to the referral letters, probably because
they not only received the letter but also discussed the letter with their doctor
and had the opportunity to correct false details before discharge. The encouragement
of communication, the acceptance of patients as equal partners and the improvement
of information, empower patients as active partners in care, which improves the course
of the disease. Therefore patients should have the possibility to discuss the referral
letter with their doctor.
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Dr. Ingrid Sibitz
Klinische Abteilung für Sozialpsychiatrie und Evaluationsforschung · Universitätsklinik
für Psychiatrie
Währinger Gürtel 18 - 20
1090 Wien · Österreich
Email: Ingrid.Sibitz@akh-wien.ac.at