Bäuerle Susanne, Loos Sabine, Grempler Julia, Freyberger Harald, Spießl Hermann, Janssen Birgit, Becker Thomas
Klinik für Psychiatrie und Psychotherapie II der Universität Ulm, Günzburg.
Psychiatr Prax. 2013 Jul;40(5):271-7. doi: 10.1055/s-0032-1333036. Epub 2013 Mar 27.
Process evaluation of a needs-oriented discharge planning and monitoring (NODPAM) intervention for patients with severe mental illness with high utilisation of inpatient psychiatric care (within a RCT showing lack of evidence of superiority over treatment as usual).
Analysis of intervention drop-outs vs. intervention group patients participating in the intervention; analysis of the impact of intervention characteristics on unmet needs over time.
Patients with more severe forms of illness were more likely to be among intervention drop-outs, a relatively high proportion of unmet needs persisted in patients participating in the intervention. Good intervention implementation and high patient satisfaction with the intervention were associated with a reduction of unmet needs.
The NODPAM intervention failed to reach patients with high service use and more severe forms of illness; quality of intervention implementation might have contributed to the lack of superiority over treatment as usual. The intervention might not have been well integrated in routine treatment and was therefore experienced as extraneous to routine care.
对针对住院精神科护理利用率高的重症精神疾病患者的需求导向型出院计划与监测（NODPAM）干预措施进行过程评估（在一项随机对照试验中，该干预措施未显示出优于常规治疗的证据）。
分析干预措施退出者与参与干预措施的干预组患者；分析干预措施特征随时间对未满足需求的影响。
病情较重的患者更有可能成为干预措施退出者，参与干预措施的患者中仍有相对较高比例的未满足需求。良好的干预措施实施情况以及患者对干预措施的高度满意度与未满足需求的减少相关。
NODPAM干预措施未能惠及服务利用率高且病情较重的患者；干预措施的实施质量可能导致其未能显示出优于常规治疗的效果。该干预措施可能未很好地融入常规治疗，因此被视为常规护理之外的额外内容。
