[德国南部农村一家精神病院“居家治疗”与传统住院治疗的比较]
[Comparison of "home treatment" with traditional inpatient treatment in a mental hospital in rural southern Germany].
作者信息
Munz Isolde, Ott Miriam, Jahn Henriette, Rauscher Annett, Jäger Markus, Kilian Reinhold, Frasch Karel
机构信息
Klinik für Psychiatrie und Psychotherapie II der Universität Ulm am Bezirkskrankenhaus Günzburg, Günzburg, Germany.
出版信息
Psychiatr Prax. 2011 Apr;38(3):123-8. doi: 10.1055/s-0030-1248591. Epub 2010 Sep 16.
OBJECTIVE
To investigate the clinical effectiveness of "Home Treatment" (HT) in comparison to the usual inpatient treatment in patients with acute psychiatric illness.
METHODS
In a prospective observational study we compared 60 of our HT patients to 18 patients receiving inpatient treatment as usual (TAU) with regard to psychopathological symptoms (PANSS, HAM-D 21), global functioning (GAF), symptom severity (HoNOS-D) and sociodemographic parameters at admission and discharge.
RESULTS
HT was a feasible alternative in patients with several different psychiatric diagnoses and appeared to be similar to TAU in view of clinical effectiveness.
CONCLUSIONS
In potentially suitable patients fulfilling criteria of hospital admission, the alternative of HT can be actively considered.
目的
探讨“居家治疗”（HT）相较于急性精神疾病患者常规住院治疗的临床疗效。
方法
在一项前瞻性观察研究中，我们将60例接受居家治疗的患者与18例接受常规住院治疗（TAU）的患者在入院和出院时的精神病理症状（阳性和阴性症状量表、汉密尔顿抑郁量表21项）、整体功能（大体功能评定量表）、症状严重程度（神经精神病学评定量表 - 抑郁）及社会人口学参数方面进行了比较。
结果
居家治疗对于患有多种不同精神疾病诊断的患者是一种可行的替代方案，且在临床疗效方面似乎与常规住院治疗相似。
结论
对于符合住院标准的潜在合适患者，可积极考虑采用居家治疗这一替代方案。
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