Estrada-Zambrano Núria, Martinez-Ferreira Catarina, Reyes-Figueroa Julio
Clinical psychology specialist. Hospital Universitari Institut Pere Mata. Hospital de Dia, Calle Rebolledo 3, 43004 Tarragona, Spain.
Occupational therapy degree. Hospital Universitari Institut Pere Mata. Hospital de Dia, Calle Rebolledo 3, 43004 Tarragona, Spain.
Rev Colomb Psiquiatr. 2022 Dec 26. doi: 10.1016/j.rcp.2022.12.001.
Mental health services have been clearly affected by the pandemic and its restrictions. In our day hospital units users attended on fewer days, group therapy was drastically reduced, the number of users in groups was limited and individual and group teletherapy was initiated. This study evaluates the impact of these changes on clinical and functional outcomes.
This is a descriptive study prospectively comparing two cohorts of users: those admitted and discharged from our day hospitals before or during the pandemic. All users received a multidisciplinary assessment at admission and discharge including clinician and user-rated scales on psychopathology, daily living skills, quality of life and caregiver burdens. Improvement in both groups was compared.
Both cohorts were homogenous at admission. Length of admission was not different for the two groups, but users admitted during the pandemic attended the day hospital on significantly fewer days. Improvement observed in most scales was equivalent in both groups, suggesting a similar evolution of both cohorts.
Despite the reduction in assistance days and group therapeutic interventions no major changes were found in the outcomes of both groups. This study shows that careful adaptations and availability, even in critical situations, can result in equally effective treatments. Further research is essential to determine which of these adaptations should be maintained beyond the pandemic.
心理健康服务受到疫情及其限制措施的显著影响。在我们的日间医院病房，患者就诊天数减少，团体治疗大幅减少，团体中的患者人数受限，并且开始了个体和团体远程治疗。本研究评估这些变化对临床和功能结局的影响。
这是一项描述性研究，前瞻性地比较两组患者：疫情之前或期间在我们日间医院入院和出院的患者。所有患者在入院和出院时均接受多学科评估，包括临床医生和患者评定的心理病理学、日常生活技能、生活质量及照顾者负担量表。比较两组的改善情况。
两组患者入院时情况相似。两组的住院时长无差异，但疫情期间入院的患者在日间医院的就诊天数明显更少。两组在大多数量表上观察到的改善相当，表明两组患者的病情进展相似。
尽管就诊天数和团体治疗干预减少，但两组的结局未发现重大变化。本研究表明即使在危急情况下，精心调整和提供服务也可产生同样有效的治疗效果。进一步研究对于确定疫情之后应保留哪些调整措施至关重要。
