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短期住院与标准住院:适合谁?

Brief vs standard hospitalization: for whom?

作者信息

Endicott J, Cohen J, Nee J, Fleiss J L, Herz M I

出版信息

Arch Gen Psychiatry. 1979 Jun;36(6):706-12. doi: 10.1001/archpsyc.1979.01780060096012.

Abstract

An effort was made to determine patient characteristics that have differential prognostic significance, depending on treatment assignment to one of three treatment approaches: standard inpatient care (n = 63), brief hospitalization followed by day care (n = 61), and brief hospitalization without day care (n = 51). All were followed by outpatient care. Both demographically and clinically assessed behavioral variables were related to a number of outcome measures, including days in the community, clinical ratings, and family assessment. Generally, the standard treatment was inferior to the two brief treatments. Multiple previous admissions were particularly contraindicative for standard treatment. High overt anger score was especially contraindicative for brief hospitalization without day care and particularly indicative for brief hospitalization with day care.

摘要

研究旨在确定具有不同预后意义的患者特征,这取决于患者被分配至三种治疗方法中的哪一种:标准住院治疗(n = 63)、短期住院后日间护理(n = 61)以及无日间护理的短期住院(n = 51)。所有患者之后均接受门诊治疗。人口统计学和临床评估的行为变量均与一些结局指标相关,包括在社区的天数、临床评分和家庭评估。总体而言,标准治疗不如两种短期治疗。既往多次入院对标准治疗尤为不利。明显的高愤怒评分对无日间护理的短期住院尤为不利,而对有日间护理的短期住院尤为有利。

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