[汉堡精神分裂症患者综合护理模式：第2部分。2年和4年治疗期的临床病程结果]
[The Hamburg-model of integrated care for patients with psychosis: Part 2. Results of the clinical course over 2- and 4-years of treatment].
作者信息
Karow Anne, Bock Thomas, Daubmann Anne, Meigel-Schleiff Christina, Lange Benjamin, Lange Matthias, Ohm Gunda, Bussopulos Alexandra, Frieling Marietta, Golks Dietmar, Kerstan Andrea, König Hans-Helmut, Nika Lia, Lange Matthias, Ruppelt Friederike, Schödlbauer Michael, Schöttle Daniel, Sauerbier Anne-Lena, Rietschel Liz, Wegscheider Karl, Wiedemann Klaus, Schimmelmann Benno G, Naber Dieter, Lambert Martin
机构信息
Arbeitsbereich Psychosen, Klinik für Psychiatrie und Psychotherapie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf.
Institut für Medizinische Biometrie und Epidemiologie, Universitätsklinik Hamburg Eppendorf.
出版信息
Psychiatr Prax. 2014 Jul;41(5):266-73. doi: 10.1055/s-0033-1349496. Epub 2013 Sep 23.
OBJECTIVE
Since the beginning of the integrated care model for severely ill patients with psychotic disorders ("Hamburg model") in 2007 different clinical parameters have been consecutively assessed within a naturalistic, observational, prospective study.
METHODS
Clinical outcome of the 2-year and 4-year follow-ups of n = 158 patients.
RESULTS
A significant and ongoing improvement of psychopathology, severity of illness, functional outcome, quality of life and satisfaction with care in this sample of severely ill and merely chronic patients with psychosis was shown. Moreover, medication adherence improved and quality and quantity of outpatient treatment increased.
CONCLUSION
The ongoing psychosocial stabilisation of the patients most likely result from a combination of various factors: continuity of care, multimodal and individualized care, therapeutic specialisation and the multidisciplinary ACT team. RESULTS provide clinical and scientific evidence for future implementations of the integrated care model "Hamburg Model" for the treatment of psychosis.
目的
自2007年开始实施针对重症精神障碍患者的综合护理模式（“汉堡模式”）以来，在一项自然主义、观察性、前瞻性研究中对不同的临床参数进行了连续评估。
方法
对n = 158例患者进行2年和4年随访的临床结果。
结果
在这个重症且仅为慢性精神病患者样本中，精神病理学、疾病严重程度、功能结局、生活质量和护理满意度有显著且持续的改善。此外，药物依从性提高，门诊治疗的质量和数量增加。
结论
患者持续的心理社会稳定最有可能是多种因素共同作用的结果：护理的连续性、多模式和个性化护理、治疗专业化以及多学科积极社区治疗团队。研究结果为未来实施“汉堡模式”综合护理模式治疗精神病提供了临床和科学依据。
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