Hermens M L M, Nugter M A, Mooij N, Hoogendoorn A W, van Son G E, Robbers S, van Bueren M M, Beekman A T F, Theunissen J
Tijdschr Psychiatr. 2017;59(8):456-465.
Routine outcome monitoring (rom) provides us with opportunities to study treatment outcome in daily clinical practice and to learn from the results.
AIM: To assess the changes that occur in the psychological and social functioning of patients in geriatric psychiatry who are suffering from substance dependence, mood disorder, anxiety disorder, psychotic disorder, or personality disorder.
METHOD: We analysed data relating to 1,810 patients (aged 60-101) from nine mental health care organisations that together form SynQuest cv. The total scores and item scores on the Health of the Nation Outcome Scales for older people (Honos 65+) at the beginning and end of treatment were also analysed and were linked to the diagnosis.
RESULTS: Patients improved significantly (es=0.8). The degree of improvement depended on the patient's principal diagnosis; patients with a mood or anxiety disorder improved the most (es=1.0 and 0.8). The degree of improvement varied per Honos 65+ item. In particular, patients with 'depressive problems' and 'other mental and behavioral problems' showed considerable improvement.
CONCLUSION: Many older patients benefited from the treatment they received in gerontopsychiatry departments. This helps to give elderly patients with psychiatric disorders hope for the future. The scores on the individual items of the Honos 65+ can help clinicians to tailor treatment to the patient's specific problems and to monitor and evaluate treatment outcome in conjunction with the patient.
常规结果监测（ROM）为我们提供了在日常临床实践中研究治疗结果并从结果中学习的机会。
评估老年精神病学中患有物质依赖、情绪障碍、焦虑障碍、精神障碍或人格障碍的患者在心理和社会功能方面发生的变化。
我们分析了来自九个共同组成SynQuest cv的心理健康护理机构的1810名患者（年龄在60 - 101岁之间）的数据。还分析了治疗开始和结束时老年人国家健康结果量表（Honos 65+）的总分和项目得分，并将其与诊断相关联。
患者有显著改善（效应量=0.8）。改善程度取决于患者的主要诊断；患有情绪或焦虑障碍的患者改善最大（效应量=1.0和0.8）。每个Honos 65+项目的改善程度各不相同。特别是，患有“抑郁问题”和“其他精神和行为问题”的患者有相当大的改善。
许多老年患者从老年精神病科接受的治疗中受益。这有助于给患有精神疾病的老年患者带来对未来的希望。Honos 65+各个项目的得分可以帮助临床医生根据患者的具体问题调整治疗方案，并与患者一起监测和评估治疗结果。
