Tantam D, McGrath G
Soc Psychiatry Psychiatr Epidemiol. 1989 Mar;24(2):96-101. doi: 10.1007/BF01788633.
Nineteen long-stay day patients were referred to a rehabilitation team and their outcome after a year is compared with 19 day patients who were not referred, but were matched for age, sex and diagnosis. Seven rehabilitation team patients had been discharged at 12 months as against 3 of the non-rehabilitation patients, but this was not a significant difference. Discharged patients were less disturbed at the beginning of the study and had fewer negative symptoms throughout. Discharge did not reduce the frequency of social contact. There was a suggestion that morale was sustained better in the rehabilitation patient and in their nurses. We conclude that rehabilitation planning may have beneficially accelerated the discharge of less ill day-patients, but that more resources are needed to prevent 'institutionalization' within the day-hospital.
19名长期日间患者被转介至康复团队，一年后将他们的康复结果与19名未被转介但在年龄、性别和诊断方面相匹配的日间患者进行比较。12个月时，7名康复团队患者已出院，而非康复患者仅有3人出院，但这一差异并不显著。出院患者在研究开始时较少受到困扰，且在整个过程中阴性症状较少。出院并未降低社交接触的频率。有迹象表明，康复患者及其护士的士气维持得更好。我们得出结论，康复计划可能有益地加速了病情较轻的日间患者的出院，但需要更多资源来防止日间医院内的“机构化”。
