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住院等效家庭治疗(IEHT)与标准住院治疗的比较:一项匹配队列研究

[Comparison of Inpatient Equivalent Home Treatment (IEHT) with Standard Inpatient Treatment: A Matched Cohort Study].

作者信息

Weinmann Stefan, Spiegel Jennifer, Baumgardt Johanna, Bühling-Schindowski Felix, Pfeiffer Jan, Kleinschmidt Martin, Bechdolf Andreas

机构信息

Psychiatrie, Universitätsspital Basel, Schweiz.

Vivantes Klinikum Am Urban, Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Berlin.

出版信息

Psychiatr Prax. 2022 Nov;49(8):405-410. doi: 10.1055/a-1615-8763. Epub 2021 Oct 21.

DOI:10.1055/a-1615-8763
PMID:34674201
Abstract

OBJECTIVE

Effectiveness of Inpatient Equivalent Home Treatment (IEHT) was examined in comparison to standard psychiatric inpatient treatment. IEHT is similar to the internationally known Home Treatment or Crisis Resolution Teams. It provides acute psychiatric treatment at the user's home, similar to inpatient hospital treatment in terms of content, flexibility, and complexity.

METHODS

This retrospective matched control study used routine data of 86 patients (IEHT, n = 43, standard inpatient treatment n = 43). Readmission rates and cumulative hospital days were compared within a 12-month-follow-up time period.

RESULTS

The readmission rate was lower and cumulative treatment days were longer after IETH. However, both group differences were not statistically significant.

CONCLUSION

The present study indicates that IEHT is not inferior to standard inpatient treatment in terms of the risk of readmission.

摘要

目的

将住院等效家庭治疗(IEHT)与标准精神科住院治疗进行比较,以检验其有效性。IEHT类似于国际上知名的家庭治疗或危机解决团队。它在用户家中提供急性精神科治疗,在内容、灵活性和复杂性方面与住院医院治疗相似。

方法

这项回顾性匹配对照研究使用了86名患者的常规数据(IEHT组,n = 43;标准住院治疗组,n = 43)。在12个月的随访期内比较再入院率和累计住院天数。

结果

IEHT治疗后再入院率较低,累计治疗天数较长。然而,两组差异均无统计学意义。

结论

本研究表明,就再入院风险而言,IEHT并不劣于标准住院治疗。

相似文献

1
[Comparison of Inpatient Equivalent Home Treatment (IEHT) with Standard Inpatient Treatment: A Matched Cohort Study].住院等效家庭治疗(IEHT)与标准住院治疗的比较:一项匹配队列研究
Psychiatr Prax. 2022 Nov;49(8):405-410. doi: 10.1055/a-1615-8763. Epub 2021 Oct 21.
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Implementation, efficacy, costs and processes of inpatient equivalent home-treatment in German mental health care (AKtiV): protocol of a mixed-method, participatory, quasi-experimental trial.德国精神卫生保健中住院等效家庭治疗的实施、效果、成本和流程(AKtiV):一项混合方法、参与式、准实验研究的方案。
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Premature termination, satisfaction with care, and shared decision-making during home treatment compared to inpatient treatment: A quasi-experimental trial.提前终止治疗、对治疗的满意度以及家庭治疗与住院治疗相比的决策共享:一项准实验研究。
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引用本文的文献

1
Utilization of Psychiatric Hospital Services Following Intensive Home Treatment: A Nonrandomized Clinical Trial.强化家庭治疗后精神科医院服务的利用:一项非随机临床试验。
JAMA Netw Open. 2024 Nov 4;7(11):e2445042. doi: 10.1001/jamanetworkopen.2024.45042.
2
[Inpatient equivalent home-treatment: an overview].[住院等效家庭治疗:概述]
Nervenarzt. 2022 May;93(5):520-528. doi: 10.1007/s00115-022-01272-8. Epub 2022 Mar 16.
3
Implementation, efficacy, costs and processes of inpatient equivalent home-treatment in German mental health care (AKtiV): protocol of a mixed-method, participatory, quasi-experimental trial.
德国精神卫生保健中住院等效家庭治疗的实施、效果、成本和流程(AKtiV):一项混合方法、参与式、准实验研究的方案。
BMC Psychiatry. 2021 Mar 30;21(1):173. doi: 10.1186/s12888-021-03163-9.