Herz M I, Endicott J, Gibbon M
Arch Gen Psychiatry. 1979 Jun;36(6):701-5. doi: 10.1001/archpsyc.1979.01780060091011.
This article presents the long-term follow-up effects of brief vs standard hospitalization on families. One hundred seventy-five newly admitted inpatients who lived with their families were randomly assigned to standard inpatient care, brief hospitalization followed by the availability of transitional day care, and brief hospitalization. All patients were offered follow-up outpatient treatment. Initial length of stay was 11 days for both brief hospitalization groups and 60 days for the standard group. The long-term results generally indicate little differential effect between treatments. When differences occurred, they generally favored the brief groups. For example, at one year the standard group families were judged to have a higher overall level of burden than the brief-day families. The findings suggest that patients are more likely to be rehospitalized because of their psychopathology than because of family burden.
本文介绍了短期住院与标准住院对家庭的长期随访影响。175名与家人同住的新入院患者被随机分配接受标准住院护理、短期住院并随后提供过渡性日间护理,以及短期住院。所有患者均接受随访门诊治疗。两个短期住院组的初始住院时间均为11天,标准组为60天。长期结果总体表明,各治疗组之间的差异效应不大。当出现差异时,通常有利于短期住院组。例如,在一年时,标准组家庭被判定总体负担水平高于短期日间护理组家庭。研究结果表明,患者再次住院更可能是由于其精神病理学原因,而非家庭负担。