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精神病日间医院的长期住院患者。病例记录回顾。

Long-stay patients in a psychiatric day hospital. A case note review.

作者信息

McGrath G, Tantam D

机构信息

University Hospital of South Manchester.

出版信息

Br J Psychiatry. 1987 Jun;150:836-40. doi: 10.1192/bjp.150.6.836.

DOI:10.1192/bjp.150.6.836
PMID:3115351
Abstract

The case notes of all non-psychogeriatric patients attending the Psychiatric Day Hospital at the University Hospital of South Manchester during one week in October 1982 were reviewed. Clinical, demographic, social and occupational data were gathered for all patients, and their attendance at the day hospital monitored for the year following the census period. No significant differences between patients could be found on any of the factors that it was predicted would distinguish short from long-stay patients. The best predictor of length of day hospital attendance in the current admission was the total quantity of previous hospital treatment whether as an in-patient or a day-patient. It is concluded that in the day hospital studied all patients had similar characteristics, and the majority could be seen as 'new long-stay' patients. The implications of this finding are discussed.

摘要

对1982年10月某一周内在南曼彻斯特大学医院精神病日间医院就诊的所有非老年精神病患者的病历进行了回顾。收集了所有患者的临床、人口统计学、社会和职业数据,并对普查期后一年他们在日间医院的就诊情况进行了监测。在预测会区分短期和长期住院患者的任何因素上,患者之间均未发现显著差异。当前入院时日间医院就诊时长的最佳预测指标是既往住院治疗的总时长,无论是住院患者还是日间患者。得出的结论是,在所研究的日间医院中,所有患者都具有相似的特征,并且大多数可被视为“新的长期住院”患者。讨论了这一发现的影响。

相似文献

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Long-stay patients in a psychiatric day hospital. A case note review.精神病日间医院的长期住院患者。病例记录回顾。
Br J Psychiatry. 1987 Jun;150:836-40. doi: 10.1192/bjp.150.6.836.
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引用本文的文献

1
Rehabilitative day treatment vs. supported employment: I. Vocational outcomes.康复日间治疗与支持性就业:I. 职业成果。
Community Ment Health J. 1994 Oct;30(5):519-32. doi: 10.1007/BF02189068.
2
Psychiatric day hospitals--another route to institutionalization?精神科日间医院——通往机构化的另一条途径?
Soc Psychiatry Psychiatr Epidemiol. 1989 Mar;24(2):96-101. doi: 10.1007/BF01788633.
3
Randomised controlled trial of day patient versus inpatient psychiatric treatment.日间患者与住院精神科治疗的随机对照试验。
BMJ. 1990 Apr 21;300(6731):1033-7. doi: 10.1136/bmj.300.6731.1033.