Sánchez-Guarnido Antonio José, Lucena Valentina, Torrent Aurora, Bosa Laura, Martinez-López Virginia, Cuartiles-Berenguer Ana, Batalla Iolanda
Santa Ana Hospital, Granada, Spain.
Department of Psychology, Córdoba University, Córdoba, Spain.
Front Psychol. 2022 Mar 10;13:769015. doi: 10.3389/fpsyg.2022.769015. eCollection 2022.
The COVID-19 pandemic has forced changes in patient care in Mental Health Day Hospitals (MHDHs).
To study the interventions performed in MHDHs during the pandemic in comparison with those performed in other facilities and to analyze the new hospital admissions in both groups.
A retrospective multicenter cohort study comparing the interventions received by a group of 161 patients admitted in MHDHs during the lockdown period in Spain with the interventions of another group of 109 patients who were treated at other facilities during lockdown.
MHDHs reduced their face-to-face interventions during lockdown just as much as other facilities but implemented telematic intervention methods to a greater extent. Patients attached to MHDHs during lockdown were admitted significantly less and presented fewer urgent consultations in the following 6 months.
The use of telepsychiatry made it feasible to adapt MHDHs to periods of lockdown, being useful to improve the continuity of care during the pandemic. In addition, it was possible to maintain a reduction in hospital admissions in patients treated at MHDHs.
新冠疫情迫使心理健康日间医院（MHDHs）的患者护理方式发生改变。
研究疫情期间MHDHs所采取的干预措施，并与其他机构的干预措施进行比较，同时分析两组机构的新入院患者情况。
一项回顾性多中心队列研究，比较西班牙封锁期间在MHDHs入院的161例患者所接受的干预措施，与另一组在封锁期间于其他机构接受治疗的109例患者的干预措施。
MHDHs在封锁期间减少面对面干预的程度与其他机构相同，但在更大程度上采用了远程干预方法。封锁期间隶属于MHDHs的患者在随后6个月的入院人数显著减少，紧急会诊次数也较少。
远程精神病学的应用使MHDHs能够适应封锁期，有助于改善疫情期间的护理连续性。此外，接受MHDHs治疗的患者的入院人数能够持续减少。
