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[社区精神病学中心的外国患者]

[Foreign patients in a community psychiatry centre].

作者信息

Stenager Elsebeth, Andersen Kristian Øllegård, Taha Jihan, Vestergård Kirsten, Stadsvold Kirsten

机构信息

Psykiatrisk Afdeling P, Odense Universitetshospital, DK-5000 Odense, Denmark.

出版信息

Ugeskr Laeger. 2010 Mar 1;172(9):684-8.

PMID:20199744
Abstract

INTRODUCTION

Over the last ten years more patients have been referred to the District Psychiatric Centre (DPC) in Odense. We therefore found it relevant to investigate the following in this study: - To register patients with foreign background, who are receiving psychiatric treatment in DPC. - Through a nested case control study to evaluate if/how foreign patients in DPC differ from the remaining patient group.

MATERIAL AND METHODS

The study was a nested case control study. Relevant clinical information concerning foreign patients was compared to Danish controls.

RESULTS

A total of 168 patients participated in the study, among these 60 with a foreign background. The study showed that Danish patients more often received early retirement pension, more frequently received 2nd generation antipsychotics, and more frequently received the social support services offered for psychotic patients in the community. Foreign patients more frequently lived with family and children than the Danes. Furthermore, they had a shorter illness duration and had less frequently been admitted to a psychiatric department.

CONCLUSION

Based on this study it is emphasised that the efforts to assist foreign patients with psychiatric disorders should be improved. I.e. through inexpensive medicine, specialised teams, better coordination between psychiatrist and the municipality, and improved knowledge of the consequences of psychiatric disorders among the foreign patients.

摘要

引言

在过去十年中,有更多患者被转诊至欧登塞地区精神病中心(DPC)。因此,我们认为在本研究中调查以下内容具有相关性: - 登记在DPC接受精神病治疗的有外国背景的患者。 - 通过一项巢式病例对照研究来评估DPC中的外国患者与其余患者组是否存在差异/以及如何存在差异。

材料与方法

该研究为巢式病例对照研究。将外国患者的相关临床信息与丹麦对照组进行比较。

结果

共有168名患者参与了该研究,其中60名有外国背景。研究表明,丹麦患者更常领取提前退休金,更频繁地接受第二代抗精神病药物治疗,并且更频繁地接受社区为精神病患者提供的社会支持服务。外国患者与丹麦人相比,更常与家人和孩子一起生活。此外,他们的病程较短,较少被收治到精神科病房。

结论

基于本研究,强调应改进对患有精神疾病的外国患者的援助工作。即通过使用廉价药物、专业团队、精神科医生与市政当局之间更好的协调,以及提高外国患者对精神疾病后果的认识。

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