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.
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.
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。
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