Alba Palé Leila, León Caballero Jordi, Córcoles Martínez David, González Fresnedo Ana María, Bellsolà Gonzalez Magdalena, Martín López Luis Miguel, Pérez Solà Víctor
Unidad de hospitalización domiciliaria de CASM Benito Menni, Germanes Hospitalaries, Sant Boi de Llobregat, Barcelona, España.
Institut de Neuropsiquiatria i Addiccions, Hospital del Mar, Barcelona, España; Departamento de Psiquiatría y Medicina Legal, Universitat Autònoma de Barcelona, Barcelona, España.
Rev Psiquiatr Salud Ment (Engl Ed). 2019 Oct-Dec;12(4):207-212. doi: 10.1016/j.rpsm.2018.09.003. Epub 2019 Jan 19.
INTRODUCTION: Although home hospitalization has begun to develop widely in recent years there is a notable lack of studies. The following study includes data from the Psychiatric Home Hospitalization Unit of the Hospital del Mar (HADMar). This program has been running for 2years and takes place in a socio-demographically depressed area in Barcelona. It receives patients from community and hospital services. Monitoring is limited in time and at discharge patient are referred to the ambulatory unit. MATERIAL AND METHODS: All patients visited from 2015 to the present time were selected. A total of 135 patients were included in the sample. A qualitative descriptive study was carried out in order to define the socio-demographic characteristics. The severity of symptoms, suicidal risk and changes in the functionality were considered as clinical outcomes. RESULTS: The mean age of patients was 44.6 years and there were no gender differences. A total of 26 patients had a history of suicidal attempts and 11.1% lived alone; 51.1% were diagnosed with a psychotic disorder. The mean GEP score for the severity of the psychiatric symptoms was 2.39 and the mean risk of suicide was 0.49. There is an increase in the EEAG score from admission to discharge, which means an improvement in the functionality of patients. CONCLUSIONS: The results obtained in our study are consistent with previous results. Home crisis intervention teams have proved to be an alternative to traditional hospitalization. However, more studies are needed to support these results.
引言:尽管家庭住院治疗近年来已开始广泛发展,但相关研究明显不足。以下研究纳入了德尔马医院(HADMar)精神科家庭住院治疗单元的数据。该项目已运行两年,位于巴塞罗那一个社会人口统计学特征显示较为萧条的地区。它接收来自社区和医院服务机构的患者。监测时间有限,出院时患者会被转介到门诊部门。 材料与方法:选取了2015年至今就诊的所有患者。样本共纳入135名患者。开展了一项定性描述性研究以确定社会人口统计学特征。症状严重程度、自杀风险和功能变化被视为临床结果。 结果:患者的平均年龄为44.6岁,无性别差异。共有26名患者有自杀未遂史,11.1%的患者独居;51.1%的患者被诊断患有精神障碍。精神症状严重程度的平均GEP评分为2.39,平均自杀风险为0.49。从入院到出院,EEAG评分有所增加,这意味着患者的功能有所改善。 结论:我们研究中获得的结果与先前结果一致。家庭危机干预团队已被证明是传统住院治疗的一种替代方式。然而,需要更多研究来支持这些结果。
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