这是一个好举措吗？慢性精神病患者从精神病院转至社区宿舍后生活质量的改善。
Was it a good move? Improvement in quality of life among chronic mental patients moving from a mental hospital to a hostel in the community.
作者信息
Umansky Roberto, Amir Marianne, Fridmann Monica, Zidon Esther, Chen Dafna, Nemetz Boris
机构信息
Beersheba Mental Health Center, Division of Psychiatry, Ben-Gurion University of the Negev, Israel.
出版信息
Isr J Psychiatry Relat Sci. 2003;40(4):248-57.
BACKGROUND
This study examined whether transition from hospital to hostel improves patients' quality of life (QOL).
METHOD
In a longitudinal prospective study comparing the QOL of 16 patients who moved to a hostel with that of 20 who remained hospitalized, we posited that the former would exhibit improved QOL. We also assessed the reliability of psychiatric patients' reports by comparing them with staff reports.
RESULTS
No changes were reported in the QOL of hospitalized patients, whereas those who moved to the hostel exhibited significant improvement in all aspects of life, as reflected in the World Health Organizations Quality of Life measure (WHOQOL-BREF), reports by patients and staff and subjective (but not objective) indicators in the TL30s questionnaire. Patients' reports reflect a higher QOL improvement than staff reports but both display similar trends regarding changes in QOL.
CONCLUSIONS
It was concluded that the move from the hospital to the hostel improved the QOL of the patients.
背景
本研究探讨从医院转至宿舍式住所是否能改善患者的生活质量（QOL）。
方法
在一项纵向前瞻性研究中，比较了16名搬至宿舍式住所的患者与20名仍住院患者的生活质量，我们假定前者的生活质量会有所改善。我们还通过将精神病患者的报告与工作人员的报告进行比较，评估了患者报告的可靠性。
结果
住院患者的生活质量未见变化，而搬至宿舍式住所的患者在生活的各个方面均有显著改善，这体现在世界卫生组织生活质量评估量表（WHOQOL - BREF）、患者和工作人员的报告以及TL30s问卷中的主观（而非客观）指标上。患者报告显示生活质量改善程度高于工作人员报告，但两者在生活质量变化方面呈现相似趋势。
结论
得出的结论是，从医院转至宿舍式住所改善了患者的生活质量。
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