Dick P, Ince A, Barlow M
Br J Psychiatry. 1985 Sep;147:250-3. doi: 10.1192/bjp.147.3.250.
In a prospective screening of emergency admissions of patients suffering from neurosis, personality disorder or adjustment reaction, 100 were assessed as suitable for early transfer to day hospital treatment, 101 as unsuitable, and 39 as not requiring further intervention. Of the unsuitable patients, 39 were grossly disturbed; the remainder did not differ in severity from those thought suitable, but there was a specific reason against day treatment in all but 13 of the 62--most commonly alcohol abuse, physical problems, social problems or aggression. Patients' attitudes were also important. Recruitment of patients had to be active, with regular visits to the wards by day hospital staff.
在一项对患有神经症、人格障碍或适应反应的急诊入院患者的前瞻性筛查中,100人被评估适合早期转至日间医院治疗,101人不适合,39人不需要进一步干预。在不适合的患者中,39人严重紊乱;其余患者在严重程度上与那些被认为适合的患者没有差异,但在62名患者中,除13人外,所有患者都有一个反对日间治疗的具体原因——最常见的是酗酒、身体问题、社会问题或攻击性。患者的态度也很重要。必须积极招募患者,日间医院工作人员要定期到病房探访。