Lamprecht F, Kobelt A, Künsebeck H W, Grosch E, Schmid-Ott G
Abteilung Psychosomatik und Psychotherapie, Medizinische Hochschule Hannover.
Psychother Psychosom Med Psychol. 1999 Sep-Oct;49(9-10):387-91.
Attention has been repeatedly drawn to the necessity to support patients after psychosomatic rehabilitation with their transfer of skills acquired during their stay at the interface between their inpatient treatment and their reintegration into everyday life. The authors' concept of the outpatient aftercare was already introduced in an earlier paper. This article presents the results of the one-year follow-up. A comparison with a control group revealed a further reduction of patients' depression. In contrast to the control group, the reduction in fear and discomfort already achieved during inpatient rehabilitation remained stable. At the same time the ability to cope with everyday life was expanded. Compared with the control group the participants of the aftercare could reduce the absence from work, days spent in hospital and visits to the doctor more than twice as much. Methodological problems of the design of the study are critically discussed.
人们一再强调,在身心康复后支持患者的必要性,即帮助他们将在住院治疗与重新融入日常生活的衔接阶段所学到的技能进行转化。作者关于门诊后续护理的概念已在早期一篇论文中介绍过。本文呈现了为期一年的随访结果。与对照组相比,患者的抑郁症状进一步减轻。与对照组不同的是,住院康复期间已经实现的恐惧和不适感的减轻保持稳定。与此同时,应对日常生活的能力得到了扩展。与对照组相比,接受后续护理的参与者能够将旷工天数、住院天数和看医生的次数减少两倍多。文中对该研究设计的方法学问题进行了批判性讨论。