Aims Studies on the frequency of caregiver involvement in representative inpatient samples are scarce. The aim of our study was to conduct a representative survey on caregiver involvement in routine inpatient care involving all three parties (patients, caregivers, psychiatrists). Therefore, we performed face-to-face interviews consisting of open-ended questions to gain a deeper understanding of when and how caregivers are involved in care treatment and to identify which topics are mainly discussed. Methods This cross-sectional survey included inpatients from 55 acute psychiatric wards across ten psychiatric hospitals, their treating psychiatrists and, when possible, their caregivers. In total, we performed semi-structured face-to-face interviews with 247 patients, their treating psychiatrists and 94 informal caregivers. Each psychiatrist named the next two to three patients to be discharged. After a patient had given informed consent, the interview was performed by a researcher. In addition, the psychiatrist and, when possible, the primary caregiver identified by the patient, were also interviewed. Results It was perceived by both patients and psychiatrists that contact between caregiver and psychiatrist had taken place in one-third of the patient cases. Predictors for psychiatrist-caregiver-contact were revealed in the patient's diagnosis (schizophrenia), a lower history of inpatient stays, and the respective hospital. According to psychiatrists the most frequent subjects of discussion with caregivers involved therapeutic issues and organisational and social-psychiatric topics (e.g. work, living and social support). Patients and caregivers stated that psychiatric treatment and the diagnostic classification of the mental illness were the most frequent topics of conversation. For all three groups, the most often cited reason for missed caregiver involvement was the subjective perception that a caregiver was not in fact needed. Conclusions Whether or not caregivers were contacted and involved during an inpatient stay strongly depended on the individual hospital. The frequency of involvement of caregivers can certainly be increased by changing processes and structures in hospitals. All three parties (patients, caregivers and psychiatrists) most often stated that the caregiver was not involved in the treatment because they thought it was unnecessary. Evidence demonstrates the positive effect of caregivers' involvement on the therapeutic process but also on the well-being of the caregiver, therefore it is necessary to increase awareness of this evidence among all three interest groups.

中文翻译：

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看护者参与精神科住院治疗——对患者、看护者和医院精神科医生三合会的代表性调查

目的 关于护理人员参与代表性住院样本的频率的研究很少。我们研究的目的是对涉及所有三方（患者、护理人员、精神科医生）的护理人员参与常规住院护理进行代表性调查。因此，我们进行了由开放式问题组成的面对面访谈，以更深入地了解护理人员何时以及如何参与护理治疗，并确定主要讨论的主题。方法 这项横断面调查包括来自 10 家精神病院的 55 个急性精神病病房的住院病人、他们的治疗精神科医生，以及他们的护理人员（如果可能）。总的来说，我们对 247 名患者、他们的治疗精神病医生和 94 名非正式护理人员进行了半结构化的面对面访谈。每位精神科医生指定接下来的两到三名患者出院。在患者给予知情同意后，采访由研究人员进行。此外，还采访了精神科医生，并在可能的情况下采访了患者确定的主要照顾者。结果 患者和精神科医生都认为，三分之一的患者病例中发生了护理人员和精神科医生之间的接触。在患者的诊断（精神分裂症）、较低的住院史和各自的医院中揭示了精神科医生-护理人员接触的预测因素。根据精神科医生的说法，与看护者讨论的最频繁的主题涉及治疗问题以及组织和社会精神病学主题（例如工作、生活和社会支持）。患者和护理人员表示，精神治疗和精神疾病的诊断分类是最常见的话题。对于所有三个组，最常提到的错过照顾者参与的原因是主观认为实际上不需要照顾者。结论 在住院期间是否联系和参与护理人员在很大程度上取决于各个医院。护理人员参与的频率当然可以通过改变医院的流程和结构来增加。三方（患者、护理人员和精神科医生）最常表示护理人员没有参与治疗，因为他们认为这是不必要的。证据表明照顾者的积极影响