Moreira Maria Stela Setti, Crippa José Alexandre de Souza, Zuardi Antonio Waldo
Departamento de Neurologia, Psiquiatria e Psicologia Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
Rev Saude Publica. 2002 Dec;36(6):734-42. doi: 10.1590/s0034-89102002000700012.
To prospectively assess the performance of socially expected activities of psychiatric patients in the first year after their discharge from a psychiatric ward of a general hospital. Also, to evaluate the patients' and their family' expectations on the former's performance.
The study was carried out in a general hospital in Ribeirão Preto, Brazil. The Katz Scale was applied to the patient and their family informer at the time of hospitalization regarding to the week preceding admission, and at one, six and 12 months after hospital discharge, regarding to the preceding week. Of the 86 pairs who were initially included in the study, 55 patients (33 women and 22 men) and their respective family informers completed the study. Performance scores and expectations were compared using variance (ANOVA) and t-student test.
Expectation did not show significant variations either in the patient's evaluation or in the family's evaluation. According to both evaluations, expectation was significantly higher than performance. A significant improvement in the performance of socially expected activities was observed as early as one month after discharge compared to the pre-admission period and was unchanged along the first year in both evaluations of the patient and their family.
These results suggest that admission to a psychiatric ward of a general hospital, in addition to reducing the psychiatric symptoms, contributed to improving the performance of socially expected activities. The average level of performance was unchanged throughout the first year after discharge, although demographic and medical variables can influence these results.
前瞻性评估综合医院精神科病房出院的精神病患者在出院后第一年的社会期望活动表现。同时，评估患者及其家属对前者表现的期望。
该研究在巴西里贝朗普雷图的一家综合医院进行。在住院时、出院后1个月、6个月和12个月，分别就入院前一周和前一周，对患者及其家属信息提供者应用卡茨量表。最初纳入研究的86对中，55名患者（33名女性和22名男性）及其各自的家属信息提供者完成了研究。使用方差分析（ANOVA）和t检验比较表现得分和期望。
无论是患者评估还是家属评估，期望均未显示出显著差异。根据两种评估，期望均显著高于表现。与入院前相比，出院后1个月就观察到社会期望活动表现有显著改善，并且在患者及其家属的两种评估中，第一年期间表现均无变化。
这些结果表明，入住综合医院精神科病房，除了减轻精神症状外，还有助于改善社会期望活动的表现。出院后的第一年，表现的平均水平没有变化，尽管人口统计学和医学变量可能会影响这些结果。
