PatientInnenvidierte Entlassungsbriefe bei schizophrenen Erkrankungen

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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