Evaluation of the effectiveness of the community psychiatric treatment program and quality of life of (included) users

Uvod: Skupnostna psihiatrična obravnava (SPO) je namenjena zdravljenju in pomoči ljudem s hudimi in ponavljajočimi se težavami v duševnem zdravju. Metode: V kvantitativnem delu raziskave je sodelovalo 80 pacientov, ki so vključeni v Skupnostno psihiatrično obravnavo Zdravstvenega doma Murska Sobota (ZD MS), in 80 oseb z duševno boleznijo, ki niso vključeni v Skupnostno psihiatrično obravnavo Zdravstvenega doma Murska Sobota. V sklopu kvalitativnega dela raziskave je bilo izvedenih 12 intervjujev s pacienti, ki so vključeni v program SPO ZD MS. Rezultati: Pacienti, ki so vključeni v SPO ZD MS, izkazujejo nižje stopnje zadovoljstva z izbranimi vidiki kakovosti življenja v primerjavi s pacienti, ki niso vključeni v SPO ZD MS. Udeleženci so zadovoljni z delovanjem službe SPO ZD MS. Ugotovljen je bil vpliv na spremembe v življenju na socialnem, zaposlitvenem, finančnem in izobraževalnem področju, pri spoprijemanju s težavami ali stiskami, izboljšanju telesnega zdravja, v odnosu do sebe ter v izboljšanju vsakodnevnega funkcioniranja. Razprava in sklep: Ugotavljamo učinkovito delovanje službe SPO ZD MS in vpliv na kakovost življenja oseb. Rezultati so pokazali nezadovoljstvo z naslednjimi področji kakovosti življenja: življenje v celoti, število in kakovost prijateljstev, spolno življenje, zdravje in duševno zdravje. V prihodnje se je treba usmeriti na izboljšanje področij kakovosti življenja, ki jih posamezniki ocenjujemo kot kritična, in raziskavam na področju kakovosti življenja oseb s težavami v duševnem zdravju.Introduction: Community psychiatric treatment is intended for treatment and helping people with severe and reoccurring mental illness. Methods: In quantitative part 80 patients who are included in Community psychiatric treatment at Health Centre Murska Sobota took part and also 80 people with mental illness who are not included in psychiatric treatment in Community psychiatric treatment at Health Centre Murska Sobota. In the quantitative part of the research 12 interviews with the patients included in Community psychiatric treatment at Heath Centre Murska Sobota have been carried out. Results: The patients who are included in Community psychiatric treatment at Health Centre Murska Sobota show lower degree of satisfaction from chosen aspects of quality of life compared to the patients who are not included in Community psychiatric treatment at Health Centre Murska Sobota. The participants are satisfied with services of Community psychiatric treatment at Heath Centre Murska Sobota. Influence in changes was established in following: social, financial, educational, employment area, dealing with problem, improvement of physical health, daily functioning. Discussion and conclusion: We have found out efficient implementation of Community psychiatric treatment at Health Centre Murska Sobota and the influence on quality of life. The results have shown dissatisfaction in the following areas of quality of life: life as whole, number and quality of friendship, sexual life, health and mental health.