智力残疾法医精神病住院患者住院时间的相关因素。
Factors Associated With Length of Hospital Stay for Forensic Psychiatric Inpatients With Intellectual Disabilities.
作者信息
McKenna Penelope, England Rosie, Fadzelmulla-Moreno Carmen, Thompson Paul A, Boer Harm, Langdon Peter E
机构信息
Brooklands Hospital, Coventry and Warwickshire Partnership NHS Trust, UK.
Centre for Research in Intellectual and Developmental Disabilities (CIDD), University of Warwick, Coventry, UK.
出版信息
J Appl Res Intellect Disabil. 2025 May;38(3):e70065. doi: 10.1111/jar.70065.
INTRODUCTION
The aim of this study was to examine factors associated with length of stay within a psychiatric hospital for patients with intellectual disabilities who have a forensic history.
METHODS
Data about 111 patients were gathered retrospectively from historical records for the period of February 2011 to March 2021. Negative binomial regression was then used to examine the relationship between selected predictor variables and length of stay.
RESULTS
Patients who were older upon admission and those who had received psychological therapies or positive behavioural support (PBS) had a significantly longer length of stay. Those with a diagnosis of a neurodevelopmental disorder had a significantly shorter length of stay. All other predictors were not statistically significant.
CONCLUSIONS
There was evidence of a clinical improvement at discharge and those with autism or ADHD had a shorter length of stay. Similar studies with larger sample sizes should be completed across England.
引言
本研究的目的是调查有法医史的智障患者在精神病院内的住院时间相关因素。
方法
回顾性收集了2011年2月至2021年3月期间111例患者的历史记录数据。然后使用负二项回归分析所选预测变量与住院时间之间的关系。
结果
入院时年龄较大的患者以及接受过心理治疗或积极行为支持（PBS）的患者住院时间明显更长。诊断为神经发育障碍的患者住院时间明显更短。所有其他预测因素均无统计学意义。
结论
有证据表明出院时临床症状有所改善，患有自闭症或多动症的患者住院时间较短。应在英格兰各地完成样本量更大的类似研究。
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