Kropiunigg U, Ringel E
Institut für Medizinische Psychologie der Universität, Wien.
Wien Klin Wochenschr. 1987 Aug 28;99(16):560-5.
In an earlier study the authors found that patients of the psychosomatic ward of the Vienna Allgemeine Krankenhaus showed a high frequency of consultation with physicians for the time period prior to their admission to the ward. The present study asked--in comparison with untreated cases--whether a) this consultation frequency would be different in quantity and quality according to the experience of in-patient treatment and b) what the effect of in-patient treatment would have on medication consumption and a set of subjective parameters. This study comparing 37 psychosomatic patients with the control group of 18 individuals showed that psychosomatic in-patient treatment had a decisive influence on consultation frequencies and behaviour, on medication habits and on some subjective parameters. Individuals with in-patient treatment had a consultation frequency over 50% lower than diagnostically comparable cases without psychosomatic treatment. In their own estimation, patients were able to cope with their symptoms (insofar as these remained) significantly better than those without such treatment, and the majority expressed satisfaction with their stay in the psychosomatic ward even 5 years later. Their medication consumption rate showed a declining pattern und their positive responses to a number of personal and medical parameters had the same wide scope as the persons of the control group, while those patients who did not receive this specific treatment clearly manifested a more restricted pattern.
在早期的一项研究中，作者发现维也纳总医院身心科病房的患者在入院前的时间段内看医生的频率很高。本研究与未接受治疗的病例进行比较，询问：a）根据住院治疗的经验，这种看诊频率在数量和质量上是否会有所不同；b）住院治疗对药物消费和一系列主观参数会有什么影响。这项对37名身心疾病患者和18名个体组成的对照组进行比较的研究表明，身心疾病住院治疗对看诊频率和行为、用药习惯以及一些主观参数有决定性影响。接受住院治疗的个体看诊频率比没有接受身心疾病治疗的诊断可比病例低50%以上。据患者自己估计，他们能够比未接受此类治疗的患者更好地应对自己的症状（只要症状仍然存在），而且即使在5年后，大多数患者对在身心科病房的住院经历仍表示满意。他们的药物消费率呈下降趋势，他们对一些个人和医疗参数的积极反应范围与对照组人员相同，而那些未接受这种特定治疗的患者则明显表现出更有限的模式。
