Hornstra R K, Bruce-Wolfe V, Sagduyu K, Riffle D W
Department of Psychiatry, University of Missouri-Kansas City.
Hosp Community Psychiatry. 1993 Sep;44(9):844-7. doi: 10.1176/ps.44.9.844.
The study aim was to determine if a community-based psychiatric rehabilitation program with intensive case management was more effective than traditional outpatient services in reducing hospitalization of chronic schizophrenic patients.
One hundred twelve schizophrenic patients enrolled in the intensive case management program were matched by age, number of previous hospitalizations, and days spent in the hospital with 112 schizophrenic patients who received medication services and minimal case management. The two groups were compared on the amount of services used and the number of hospitalizations and hospital days over a 24-month study period.
Patients in the intensive case management program had been enrolled for a mean of 10.96 months, with a range from one to 24 months. They used significantly more mental health services during the study period compared with the patients in the control group. However, no significant differences were found between the two groups in number of hospitalizations and hospital days. Both groups showed an increase in the number of hospitalizations over the study period.
A community-based psychiatric rehabilitation program with intensive case management was no more effective than medication services and minimal case management in reducing hospitalization among chronic schizophrenic patients.
本研究旨在确定一个基于社区且有强化个案管理的精神康复项目，在减少慢性精神分裂症患者住院率方面是否比传统门诊服务更有效。
112名参加强化个案管理项目的精神分裂症患者，按照年龄、既往住院次数和住院天数，与112名接受药物治疗服务及最低限度个案管理的精神分裂症患者进行匹配。在24个月的研究期内，对两组患者使用的服务量、住院次数及住院天数进行比较。
参加强化个案管理项目的患者平均入组10.96个月，范围为1至24个月。与对照组患者相比，他们在研究期间使用了显著更多的心理健康服务。然而，两组在住院次数和住院天数方面未发现显著差异。在研究期间，两组的住院次数均有所增加。
在减少慢性精神分裂症患者住院率方面，一个基于社区且有强化个案管理的精神康复项目并不比药物治疗服务及最低限度个案管理更有效。
