Lecturer, Department of Psychiatry, NIMHANS, Bangalore.
Indian J Psychiatry. 1983 Oct;25(4):293-7.
This report examines the hospital stay of psychiatric in-patients in a general hospital psychiatric setting.The hospital stay days, psychiatric diagnosis, outcome, number of re-admission and some socio-demographic details of patients admitted during one year period were recorded and analysed. The mean hospital stay was 29.39 ± 20.43 days. 60% patients stayed less than 4 weeks. The mean hospital stay of various categories was calculated. Schizophrenics 29.62 ± 25.82 days, manic depressives 35.29 ± 33.04 days and neuroses 24.83±18.43 days. Chronic Schizophrenics stayed longest (43.64±22.56) days. Of the Affective Psychosis group, between manics and depressives no difference was noticed. Good prognosis and relatively benign conditions had a briefer stay. Patients with no improvement stayed for significantly shorter- period (p< .001). Readmission cases tend to stay longer than fresh admissions (p< .05). The implications and interpretations especially in a general hospital psychiatric setting are discussed.
本报告考察了综合医院精神科住院精神病患者的住院情况。记录和分析了患者在一年内的住院天数、精神科诊断、结果、再入院次数和一些社会人口学细节。平均住院时间为 29.39 ± 20.43 天。60%的患者住院时间不到 4 周。计算了各种类别的平均住院时间。精神分裂症患者为 29.62 ± 25.82 天,躁狂抑郁症患者为 35.29 ± 33.04 天,神经症患者为 24.83 ± 18.43 天。慢性精神分裂症患者住院时间最长(43.64±22.56)天。在情感性精神病组中,躁狂症和抑郁症之间没有差异。预后良好和相对良性的病情住院时间较短。无改善的患者住院时间明显缩短(p<.001)。再入院患者的住院时间往往比新入院患者长(p<.05)。特别是在综合医院精神科环境中,对这些结果进行了讨论和解释。