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日间医院在新冠疫情期间对精神障碍患者个人康复的有效性

The Effectiveness of Day Hospitals in the Personal Recovery of Mental Disorder Patients during the COVID-19 Pandemic.

作者信息

Sánchez-Guarnido Antonio José, Ruiz-Granados María Isabel, Herruzo-Cabrera Javier, Herruzo-Pino Carlos

机构信息

Hospital Santa Ana, 18600 Motril, Spain.

Facultad de Ciencias de la Educación, Universidad de Córdoba, 14071 Córdoba, Spain.

出版信息

Healthcare (Basel). 2023 Jan 31;11(3):413. doi: 10.3390/healthcare11030413.

Abstract

BACKGROUND

In recent years, a new recovery model has gained ground in which recovery is understood as a process of change where individuals are able to improve their health and wellbeing, lead self-sufficient lives and strive to achieve their maximum potential (personal recovery). Despite the existence of data regarding the effectiveness of mental health day hospitals (MHDHs) in reducing relapses in terms of hospital admissions and emergencies, no studies have to date assessed how this change affected the new personal recovery model.

OBJECTIVES

To verify the effectiveness of MHDHs in improving personal recovery processes among people with mental disorders (MDs).

METHODS

A prospective cohort study. A group of patients receiving follow-up at MHDHs was compared with another group of patients receiving follow-up in other therapeutic units over a period of three months.

RESULTS

Patient recovery at the MHDHs, assessed using the Individual Recovery Outcomes Counter (I.ROC), was found to be significantly better than that of patients attended in other units.

CONCLUSIONS

MHDHs can contribute to the recovery of people with MDs. This is particularly important at a time when some patients may have experienced impediments to their recovery processes due to the pandemic.

摘要

背景

近年来,一种新的康复模式逐渐流行,在这种模式中,康复被理解为一个变化过程,个体能够改善自身健康和幸福感,过上自给自足的生活,并努力发挥其最大潜力(个人康复)。尽管有数据表明精神卫生日间医院(MHDHs)在减少住院和急诊复发方面具有有效性,但迄今为止,尚无研究评估这种变化如何影响新的个人康复模式。

目的

验证MHDHs在改善精神障碍(MDs)患者个人康复过程中的有效性。

方法

一项前瞻性队列研究。将一组在MHDHs接受随访的患者与另一组在其他治疗单位接受为期三个月随访的患者进行比较。

结果

使用个体康复结果计数器(I.ROC)评估发现,MHDHs的患者康复情况明显优于其他单位的患者。

结论

MHDHs有助于MDs患者的康复。在一些患者可能因疫情而在康复过程中遇到障碍的当下,这一点尤为重要。

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