Drake R E, Wallach M A
Cambridge Hospital, Mass.
Am J Psychiatry. 1988 Jan;145(1):29-34. doi: 10.1176/ajp.145.1.29.
Recent research on hospital tenure has neglected mental patients' attitudes toward hospitalization. The authors consider problems with past research on these attitudes and examine "living preference"--the patient's preference for living in the hospital or the community. Assessments of patients' living preferences were obtained from clinicians working with 187 chronically mentally ill patients in a state hospital aftercare program. These assessments strongly predicted both components of hospital tenure--rehospitalization and in-hospital days--during a 1-year follow-up. The authors point out the conceptual, heuristic, and practical clinical advantages of examining living preference rather than traditional correlates of hospital tenure.
近期关于住院时长的研究忽略了精神疾病患者对住院治疗的态度。作者们审视了以往针对这些态度的研究中存在的问题，并考察了“居住偏好”——即患者是更倾向于住在医院还是社区。研究者从一家州立医院后续护理项目中负责187位慢性精神病患者的临床医生那里，获取了患者居住偏好的评估结果。在为期一年的随访中，这些评估结果有力地预测了住院时长的两个构成要素——再次住院情况和住院天数。作者们指出，考察居住偏好相较于传统的住院时长相关因素，在概念、启发以及临床实践方面均具有优势。
