Gerritsen J C, Wolffensperger E W, van den Heuvel W J, Verhoeff W A, Dorgelo M J
Vakgroep Gezondheidswetenschappen Rijksuniversiteit Groningen.
Tijdschr Gerontol Geriatr. 1987 Dec;18(6):317-25.
In cooperation with the community mental health care for the elderly clients are assessed in a day hospital of a psychogeriatric nursing home. Time and again, former clients of the day-hospital who have been discharged with a fair prognosis are admitted to a nursing home. This research indicates that it is sometimes hard to carry out the advice of the day-hospital because of insufficient knowledge concerning psychogeriatrics in primary care and homes for the aged, lack of day-care centres for psychogeriatric clients, lack of informal care and the detrimental influence of general hospital admission. Admittance to a nursing home may be prevented when care-providers receive more training in psychogeriatrics, more facilities like day-care centres are available and when the disorders of clients have a strong psychiatric component (compared with clients with cognitive disturbances).
在与社区合作开展的针对老年客户的心理健康护理工作中，在一家老年精神病疗养院的日间医院对客户进行评估。日间医院那些预后良好已出院的老客户一次又一次地被送进疗养院。这项研究表明，由于初级保健机构和养老院中有关老年精神病学的知识不足、缺乏针对老年精神病患者的日间护理中心、缺乏非正规护理以及综合医院住院治疗的不利影响，有时很难执行日间医院的建议。当护理人员接受更多老年精神病学方面的培训、有更多诸如日间护理中心之类的设施，并且客户的疾病具有较强的精神科成分（与有认知障碍的客户相比）时，可避免将其送进疗养院。
