Baines Di, Patterson Neil, Austen Sally
National Deaf Mental Health Service, Birmingham and Solihull Mental Health Foundation Trust, Barberry, 25 Vincent Drive, Edgbaston, Birmingham B15 2FG, UK.
J Deaf Stud Deaf Educ. 2010 Spring;15(2):179-84. doi: 10.1093/deafed/enq003. Epub 2010 Feb 10.
This study looked at the average length of hospital stay for inpatients in a specialist deaf mental health service over a 10-year period, in comparison to that of a general psychiatric hearing cohort. In addition, two case studies of deaf inpatients were carried out looking specifically at the prerequisite factors governing discharge. Finally, a comparison of the types of community-based services available to deaf and hearing service users was undertaken in order to establish whether there was now a similarity of provision for both groups. The conclusion reached was that deaf inpatients are likely to remain in hospital twice as long as their hearing peers, but explanations for this difference may not necessarily be solely of a clinical nature. There is some evidence to suggest that social factors (i.e., a lack of appropriate community support, rehabilitation services, and provision) may have a negative impact on length of hospital stay. It is suggested that an increase in community-based services and provision may well shorten the length of hospital stay for deaf service users in the future. It is also recommended that further research into the relative effects of clinical versus social factors is considered.
本研究观察了在10年期间,专科聋人心理健康服务机构中住院患者的平均住院时长,并与普通精神科听力正常患者群体进行了比较。此外,还开展了两项聋人住院患者的案例研究,特别关注影响出院的先决因素。最后,对聋人和听力正常的服务使用者可获得的社区服务类型进行了比较,以确定目前两组的服务提供是否相似。得出的结论是,聋人住院患者的住院时间可能是听力正常同龄人住院时间的两倍,但造成这种差异的原因不一定完全是临床性质的。有证据表明,社会因素(即缺乏适当的社区支持、康复服务和供给)可能会对住院时长产生负面影响。建议增加社区服务和供给很可能会在未来缩短聋人服务使用者的住院时长。还建议考虑对临床因素与社会因素的相对影响进行进一步研究。