汉诺威长期住院研究——第二部分：慢性精神疾病患者长期住院的特征与护理状况
Hannover study on long-stay hospitalization - part II: Characteristics and care conditions of long-stay hospitalization in cases of chronic mental illness.
作者信息
Bartusch Stefan M, Brüggemann Bernd R, Elgeti Hermann, Ziegenbein Marc, Machleidt Wielant
机构信息
Department of Social Psychiatry and Psychotherapy, Hannover Medical School, Hannover, Germany.
出版信息
Clin Pract Epidemiol Ment Health. 2007 Nov 26;3:27. doi: 10.1186/1745-0179-3-27.
BACKGROUND
Long-stay hospitalization is often a consequence of insufficient care structures. This article examines the characteristics and care conditions of long-stay hospitalization (LSH) in an urban area in Germany.
METHODS
Extensive data of patients in the urban catchment area of the Medical School of Hannover, capital of Lower Saxony, were evaluated during a 10 years period.
RESULTS AND CONCLUSION
Community psychiatric efforts certainly help to reduce long-stay hospitalization, but cannot fully prevent it. Reference figures are given for comparable urbanized areas: consequently 500 chronically mentally ill persons per 100.000 inhabitants must be expected, 20% of which must be considered as long stay hospitalized according to a given definition. We estimate 250 places per 100.000 inhabitants to be required for institutionalised outpatient care, further 30 places for day clinic and full-time in-patient treatment and 40 places for residential home treatment. We suggest these results as a guidance for psychiatric planning in comparable communities.
背景
长期住院往往是护理结构不完善的结果。本文探讨了德国一个城市地区长期住院（LSH）的特征和护理条件。
方法
对下萨克森州首府汉诺威医学院城市集水区内患者的大量数据进行了为期10年的评估。
结果与结论
社区精神病防治工作确实有助于减少长期住院，但无法完全预防。给出了可比城市化地区的参考数据：因此，每10万居民中预计有500名慢性精神病患者，根据给定定义，其中20%必须被视为长期住院患者。我们估计每10万居民需要250个机构化门诊护理床位，另外日间诊所和全日制住院治疗需要30个床位，居家治疗需要40个床位。我们建议将这些结果作为类似社区精神病规划的指导。
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