Psychiatric patients' satisfaction in the therapeutic residence services: A positive experience of psychiatric deinstitutionalization / Satisfação dos pacientes psiquiátricos nos serviços residenciais terapêuticos: Uma experiência positiva de desintitucionalização psiquiátrica / Satisfacción de pacientes psiquiátricos con los servicios residenciales terapéuticos: Una experiencia positiva de desinstitucionalización psiquiátrica

This study investigated the satisfaction level of psychiatric patients in the therapeutic residential services of Barbacena-MG. Total population comprised 154 individuals, of which 45 were sampled. Subjects were interviewed with the SATIS-BR scale and a sociodemographic questionnaire. Results showed a high degree of satisfaction with the service for the global score and its three dimensions staff competence and understanding, help received, infrastructure. Results were not related to sociodemographic and clinical variables analyzed individually. Multivariate analysis indicated higher satisfaction for literate patients and for those that underwent some other form of treatment (e.g., hydrogymnastics and fitness activities) besides medications or occupational therapy. We conclude that the therapeutic residence services appear to be a viable alternative for mental health public policy, from the patients' perspective.

O estudo objetivou avaliar a satisfação dos pacientes psiquiátricos nos Serviços Residenciais Terapêuticos-SRTs de Barbacena-MG. A população era de 154 indivíduos, dos quais 45 compuseram a amostra estudada. Os sujeitos foram entrevistados com aplicação da escala SATIS-BR. Os resultados indicaram alto grau de satisfação com os serviços, globalmente e nas dimensões competência e compreensão da equipe, acolhida e ajuda recebida, e infraestrutura. O grau de satisfação foi independente da maioria das características sociodemográficas ou clínicas dos sujeitos, quando analisadas isoladamente. Análise multivariada indicou maior satisfação para pacientes alfabetizados e que faziam algum tipo de tratamento (e.g. hidroginástica e atividades físicas), além do medicamentoso e da terapia ocupacional. Conclui-se que os SRTs são uma alternativa viável de política de saúde mental, sob a perspectiva dos moradores.

El objetivo de este estudio fue evaluar la satisfacción de pacientes psiquiátricos en Servicios Terapéuticos Residenciales-SRT de Barbacena-MG. La población fue de 154 personas, de las cuales 45 fueron escogidos para ser evaluados. Los sujetos fueron entrevistados utilizando la Escala de Satisfacción de Servicios de Salud Mental-SATIS-BR. Los resultados indicaron alto grado de satisfacción con los servicios prestados en la escala global y en sus dimensiones competencia y conocimiento de equipo, bienvenida y asistencia recibidas, y infraestructura. El alto grado de satisfacción fue independiente de la mayoría de las características sociodemográficas o clínicas, cuando se analizaron por separado. Análisis multivariado indicó mayor satisfacción para los pacientes que saben leer y escribir, así como aquellos que hacen algún otro tipo de tratamiento (e.g. hidroginástica y actividades físicas), que no sea la droga o terapia ocupacional. En conclusión, los SRT son una política de salud mental alternativa viable, desde el punto de vista de sus residentes.

Cardiovascular diseases comorbid with mental disturbances in inpatients of cardiology department / 实用医学杂志

Objective Cardiovascular diseases comorbid with mental disturbances are described as psycho-cardiology diseases, which have been paid attention increasingly. The aim of this study is to summarize and analyze the findings about the study of psycho-cardiology over a year , and to obtain the baseline data of psycho-ca rdiology diseases in inpatients of cardiology department. Methods Subjects in this study were inpatients of cardiology department in the First Affiliated Hospital of Kunming Medical University in the past 21 months. The demographic and clinical data of the inpatients were collected. Anxiety and depression were evaluated by the Hospital Anxiety and Depression Scale. The prevalence of anxiety and depression in patients with various cardiovascular diseases were calculated respectively. To detect the potential risk factors of anxiety or depression, two logistic regression models were established. Results The prevalence of anxiety, depression, anxiety and/or depression, and anxiety comorbid with depression was 38.6%, 12.4%, 51.0%, and 7.9%,respectively. The prevalence of depression in patients with chronic heart failure was 24.6%, which was higher than the general level and that of patients with other cardiovascular diseases. The prevalence of anxiety in patients with acute myocardial infarction, arrhythmia, and hypertension ranged from 39.6% to 41.7%. The long course of diseases, multiple diseases, and the history of cardiac interventional operation were the common risk factors for anxiety and depression. Conclusion Anxiety and depression are common in patients with cardiovascular diseases. Cardiologists should take mental disturbances seriously, and pay more attention to the patients with above risk factors.

Mental Disturbance of Patients with Severe Craniocerebral Injury / 中国心理卫生杂志

Objective:to collect and summary mental disturbance caused by severe craniocerebral injury Method:to compare 150 cases of mental disturbance caused by severe craniocerebral injury with those (20 cases) with similar injury but without mental disturbance Result:1) The rate of those with mental disturbance in patients with severe craniocerebral injuries was 20 8% The rate of that in all patients of head injury was 5 2% 2) 107 of our sample (71 3%, 107/150) had sub-arachnoid hemorrhage 27 had fracture at the base of skull 3) Compared with those without mental disturbance, the occurrence of mental symptoms closely related to severity of injury 4) Delirium was the early symptom, while memory deficiency and affective disorder were common on the later stages Conclusion:Patients with brain contusion with subarachnoid hemorrhage are more likely having mental disturbance