Suzuki Yuriko, Yasumura Seiji, Fukao Akira, Otani Koichi
Nihonmatsu-kai Kaminoyama Hospital, Kaminoyama City, Japan.
Psychiatry Clin Neurosci. 2003 Dec;57(6):555-61. doi: 10.1046/j.1440-1819.2003.01167.x.
The purpose of the present study was to identify the associated factors of rehospitalization in schizophrenic patients. A case-control study was conducted. The cases consisted of rehospitalized patients (n = 67) and controls selected from the outpatients who were matched by age, gender, and the period after the last discharge (n = 62). In the multiple logistic regression analysis, no clinic visits in the second month prior to entry, the number of clinic visits in the previous month, and junior high school graduation as education level were significantly (P < 0.01) associated with rehospitalization after controlling their present function as assessed by the Global Assessment of Functioning. Close monitoring of clinic visits and outreach service appear to be important in preventing rehospitalization of schizophrenic patients. These identified modifiable factors suggest further needs for development and implementation of integrated mental health services in the community.
本研究的目的是确定精神分裂症患者再次住院的相关因素。进行了一项病例对照研究。病例组由再次住院的患者(n = 67)组成,对照组从门诊患者中选取,这些门诊患者在年龄、性别和上次出院后的时间段方面进行了匹配(n = 62)。在多元逻辑回归分析中,在控制了通过功能总体评定量表评估的当前功能后,入院前第二个月无门诊就诊、前一个月的门诊就诊次数以及初中毕业文化程度与再次住院显著相关(P < 0.01)。密切监测门诊就诊情况和外展服务对于预防精神分裂症患者再次住院似乎很重要。这些确定的可改变因素表明,社区综合心理健康服务的进一步发展和实施有更多需求。