Wunner Christina, Reichhart Corinne, Strauss Bernhard, Söllner Wolfgang
Klinik für Psychosomatische Medizin und Psychotherapie, Paracelsus Medizinische Privatuniversität, Klinikum Nürnberg, Prof.-Ernst-Nathan-Str. 1, 90419, Nürnberg, Deutschland.
Institut für Psychosoziale Medizin und Psychotherapie, Universitätsklinikum Jena, Jena, Deutschland.
Z Gerontol Geriatr. 2018 Apr;51(3):314-321. doi: 10.1007/s00391-016-1152-8. Epub 2016 Nov 16.
In 2006 the psychosomatic day care hospital for the treatment of acute mental illness of elderly people opened as the first clinic of its kind in Germany. The aim of the study was to determine treatment effectiveness regarding quality of life and cognition.
Designed as a naturalistic study of a population sample of 116 patients, the cognitive capacity (memory performance and cognitive speed) and the subjective quality of life were measured by the Nuremberg aging inventory (NAI) and the World Health Organization quality of life for elderly persons (WHOQOL-OLD). The patients were surveyed at four points in time including at 8‑month follow-up. A 5-week waiting time before admission to the 5‑week therapy was implemented as a control condition.
In comparison with the waiting time, after treatment significant improvement (<0.05) was found in cognitive capacity and quality of life. Effect sizes were partly small and mostly moderate (ES 0.2-1.0) with larger effect sizes in the quality of life than in the cognitive domain. Improvements of cognition and quality of life remained stable at follow-up (admission to follow-up ES 0.1-1.0). No correlation was found between cognitive improvement and reduction of depressive symptoms.
The results indicate that the psychosomatic day care hospital treatment of the elderly improves subjective quality of life and cognitive capacity.
2006年，一家治疗老年急性精神疾病的心身日间护理医院在德国开业，是德国首家此类诊所。本研究的目的是确定治疗对生活质量和认知的有效性。
本研究为对116名患者的群体样本进行的自然主义研究，通过纽伦堡衰老量表（NAI）和世界卫生组织老年人生活质量量表（WHOQOL-OLD）测量认知能力（记忆表现和认知速度）和主观生活质量。在包括8个月随访在内的四个时间点对患者进行调查。在接受为期5周的治疗前设置5周的等待时间作为对照条件。
与等待期相比，治疗后认知能力和生活质量有显著改善（<0.05）。效应量部分较小，大多为中等（效应量0.2 - 1.0），生活质量方面的效应量大于认知领域。认知和生活质量的改善在随访时保持稳定（入院至随访的效应量0.1 - 1.0）。未发现认知改善与抑郁症状减轻之间存在相关性。
结果表明，心身日间护理医院对老年人的治疗可改善主观生活质量和认知能力。
