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出院后 6 个月时重新审视精神病日间医院的体验:过渡情况如何,患者保留了什么?

Revisiting the psychiatric day hospital experience 6 months after discharge: how was the transition and what have clients retained?

机构信息

School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC, Canada.

出版信息

Psychiatr Q. 2010 Jun;81(2):81-96. doi: 10.1007/s11126-009-9119-1.

DOI:10.1007/s11126-009-9119-1
PMID:20044780
Abstract

Psychiatric day hospitals offer intensive short-term multidisciplinary treatment. No study has examined in more depth the impact of this therapeutic experience in the life of participants and what they retained from their participation after discharge. A qualitative design using semi-structured individual interviews was completed with 18 participants of different gender, age and diagnosis, treated in a day hospital, 6 months after discharge. Interview themes addressed events and changes since discharge, learnings retained, appreciated components and suggestions. Results showed that the day hospital experience was particularly helpful to improve symptoms and relationship with self. It activated a self-transformation process that continued afterwards. Termination created for many an abrupt void. Issues at stake during the first 6 months were continuity of care, social support and putting learnings into practice. The program offered at the day hospital was generally appreciated but management of the waiting time and linkage to outpatient services needed improvement.

摘要

精神病日间医院提供强化的短期多学科治疗。尚无研究更深入地探讨这种治疗体验对参与者生活的影响,以及他们在出院后从参与中保留了什么。采用半结构化个体访谈的定性设计,对 18 名不同性别、年龄和诊断的日间医院出院后 6 个月的参与者进行了访谈。访谈主题涉及出院后的事件和变化、保留的知识、赞赏的部分和建议。结果表明,日间医院的体验对改善症状和与自我的关系特别有帮助。它激活了一个自我转变的过程,在此之后仍在继续。对许多人来说,出院是一个突然的空白。头 6 个月的问题是护理的连续性、社会支持和实践所学知识。日间医院提供的方案普遍受到赞赏,但需要改进等待时间的管理和与门诊服务的联系。

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本文引用的文献

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Use of a critical time intervention to promote continuity of care after psychiatric inpatient hospitalization.使用关键时间干预措施促进精神科住院患者出院后的连续性护理。
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