Galynker I, Cohen L, Salvit C, Miner C, Phillips E, Focseneanu M, Rosenthal R
Beth Israel Medical Center/Albert Einstein School of Medicine, New York, NY 10003, USA.
Psychosomatics. 2000 Mar-Apr;41(2):114-20. doi: 10.1176/appi.psy.41.2.114.
The purpose of this study was to evaluate the role of psychiatric symptoms in the medical and surgical rehabilitation of patients on an intensive rehabilitation unit and to examine whether psychiatric symptom severity contributes to length of hospital stay (LOS). Forty-four patients (21 men and 23 women) were assessed at admission and before discharge with the Functional Independence Measure (FIM). Subjects were evaluated with the Mini-Mental State Exam (MMSE), the Hamilton Rating Scale for Depression (Ham-D), Positive and Negative Symptom Scale, (PANSS), and Scale for the Assessment of Negative Symptoms (SANS). Thirty-six percent of subjects were cognitively impaired (MMSE < 25), 14% had significant depressive symptoms (Ham-D > 12), and 52% had significant negative symptomatology (PANSS-N > 15). A regression analysis yielded a model of three predictive factors. Gender, the PANSS General subscale, and the SANS Attention subscale accounted for 42.4% of LOS variance. These results indicate that psychiatric symptoms are common in medical rehabilitation inpatients and, together with demographic factors, are associated with increased LOS.
本研究的目的是评估精神症状在强化康复单元患者的医学和外科康复中的作用，并探讨精神症状严重程度是否会影响住院时间（LOS）。44名患者（21名男性和23名女性）在入院时和出院前接受了功能独立性测量（FIM）评估。受试者接受了简易精神状态检查表（MMSE）、汉密尔顿抑郁评定量表（Ham-D）、阳性和阴性症状量表（PANSS）以及阴性症状评估量表（SANS）的评估。36%的受试者存在认知障碍（MMSE<25），14%有明显的抑郁症状（Ham-D>12），52%有明显的阴性症状（PANSS-N>15）。回归分析得出了一个包含三个预测因素的模型。性别、PANSS一般分量表和SANS注意力分量表解释了42.4%的住院时间方差。这些结果表明，精神症状在医学康复住院患者中很常见，并且与人口统计学因素一起，与住院时间延长有关。
