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别急于设立日间医院!关于日间医院对有心理健康问题的老年人有效性的最新研究。

Don't seize the day hospital! Recent research on the effectiveness of day hospitals for older people with mental health problems.

作者信息

Hoe Juanita, Ashaye Kunle, Orrell Martin

机构信息

Department of Mental Health Sciences, University College London, Wolfson Building, London, UK.

出版信息

Int J Geriatr Psychiatry. 2005 Jul;20(7):694-8. doi: 10.1002/gps.1348.

DOI:10.1002/gps.1348
PMID:16021660
Abstract

BACKGROUND

Day hospital (DH) care remains a core component of mental health services for older people. However, there has been an ongoing debate about the effectiveness and value for money of DHs in comparison to day centres (DC).

AIM

The aim was to review the recent research on the effectiveness of day hospitals for older people with mental health problems.

METHOD

A systematic search of relevant research literature over the last decade using the major electronic healthcare databases examining the quality and effectiveness of mental health DHs for older people.

RESULTS

In the last decade the evidence for the effectiveness of DHs has continued to increase, but still lags behind research on DHs in general adult psychiatry and geriatric medicine. The review found that DHs appear effective at assessing and meeting needs and that a systematic approach to evaluating quality can be used to improve services.

CONCLUSION

Recent research supports the effectiveness of day hospitals, but further studies are needed in order to provide a more robust evidence base.

摘要

背景

日间医院护理仍是老年人心理健康服务的核心组成部分。然而,与日间护理中心相比,日间医院的有效性和性价比一直存在争议。

目的

旨在回顾近期关于日间医院对有心理健康问题老年人有效性的研究。

方法

通过主要电子医疗数据库对过去十年的相关研究文献进行系统检索,以考察针对老年人的心理健康日间医院的质量和有效性。

结果

在过去十年中,日间医院有效性的证据持续增加,但仍落后于普通成人精神病学和老年医学领域对日间医院的研究。该综述发现,日间医院在评估和满足需求方面似乎是有效的,并且可以采用系统的质量评估方法来改善服务。

结论

近期研究支持日间医院的有效性,但需要进一步研究以提供更有力的证据基础。

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