Sørensen L V, Christensen K H, Rasmussen N A, Bach E, Nielsen L, Frostholm D, Overgård J, Mors N P
Horsens Sygehus, psykiatrisk afdeling.
Ugeskr Laeger. 1990 Jun 11;152(24):1732-6.
The purposes of this case-referent study were to investigate psychiatric long-term patients' social living conditions compared with these of the background population, their need of social support and to find a possible connection between these conditions and the patients' utilization of care. Our cases were 85 psychiatric long-term patients in Psychiatric Department, Horsens Sygehus, Denmark, interviewed in autumn 1987. Our control group was the population in the catchment area of the department. The distribution of social living conditions in the control group is estimated by a cross-section sample, interviewed as part of the welfare survey of 1986. Psychiatric long-term patients belonged to lower social classes and had lower family-gross-income (p = 0.008, p = 0.009, respectively). They suffered more frequently from nervous complaints (p less than 0.0001). 84% lacked close social contacts and/or lacked influence compared with 47% in the total population (p less than 0.00001). 57% of the patients appeared to need at least one kind of social support. The patients who appeared to be in need of four various kinds of support used the treatment facilities more often than the rest of the patients (p = 0.02) and so did the patients with health problems or those whose close social contacts were deficient and/or lacked influence (p less than 0.05).
本病例对照研究的目的是调查长期住院精神疾病患者与普通人群相比的社会生活状况、他们对社会支持的需求，并找出这些状况与患者护理利用之间可能存在的联系。我们的病例为丹麦霍森斯医院精神科的85名长期住院精神疾病患者，于1987年秋季接受访谈。我们的对照组是该科室服务区域内的人群。对照组社会生活状况的分布是通过一个横断面样本估计的，该样本是作为1986年福利调查的一部分接受访谈的。长期住院精神疾病患者属于社会阶层较低的群体，家庭总收入较低（分别为p = 0.008，p = 0.009）。他们更频繁地患有神经方面的疾病（p < 0.0001）。84%的患者缺乏亲密的社会联系和/或缺乏影响力，而总人口中这一比例为47%（p < 0.00001）。57%的患者似乎需要至少一种社会支持。似乎需要四种不同类型支持的患者比其他患者更频繁地使用治疗设施（p = 0.02），有健康问题的患者以及那些亲密社会联系不足和/或缺乏影响力的患者也是如此（p < 0.05）。
