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短期住院对精神科患者行为及社会功能的影响。

Effects of brief hospitalization on psychiatric patients' behaviour and social functioning.

作者信息

Platt S D, Hirsch S R, Knights A C

出版信息

Acta Psychiatr Scand. 1981 Feb;63(2):117-28. doi: 10.1111/j.1600-0447.1981.tb00658.x.

Abstract

224 newly admitted inpatients were randomly allocated to two treatment groups: standard care (length of stay determined by the clinical team) and brief care (acute treatment aimed at effecting the patient's discharge after about a week). Using a new research instrument (the Patient Behaviour Assessment Schedule), information was gathered from the patient's closest relative or friend on a subsample of 99 patients (the "target group"), which actually showed shortened length of hospitalization for brief care patients. There were no significant differences between groups at the two follow-up evaluations on measures of behavioural disturbances and limited social functioning. Results for the whole "target" group reveal that although there was significant improvement in both behaviour and social functioning 2 weeks after admission, there was little subsequent change thereafter. Overall, individual patients demonstrated more improvement in behavioural disturbance than in social functioning at the follow-up interview.

摘要

224名新入院的患者被随机分配到两个治疗组:标准护理组(住院时间由临床团队决定)和简易护理组(旨在使患者在大约一周后出院的急性治疗)。使用一种新的研究工具(患者行为评估量表),从99名患者(“目标组”)的最亲密亲属或朋友那里收集信息,这实际上显示简易护理组患者的住院时间缩短。在两次随访评估中,两组在行为障碍和社交功能受限的测量指标上没有显著差异。整个“目标”组的结果显示,虽然入院后2周行为和社交功能都有显著改善,但此后几乎没有变化。总体而言,在随访访谈中,个体患者在行为障碍方面的改善比社交功能方面更多。

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