Sachsenröder R, Seidler G H, Schöttler B, Buchholz M B, Streeck U
Krankenhaus für Psychotherapie, Psychosomatische Universitätsklinik Heidelberg.
Psychother Psychosom Med Psychol. 1993 Mar-Apr;43(3-4):133-9.
We inform about development of the Tiefenbrunn documentation system for inpatient psychotherapy. Aims and scaffolding of the system and some difficulties to make the system run are outlined. The newly developed instruments are sketched. Patients received a questionnaire concerning their social situation and their family of origin. At the same time therapists indicate symptoms, diagnosis, work ability, prognosis, pretreatments and chronification (diagnosis sheet I) and results of treatment (diagnosis sheet II) when patients leave. During treatment complementary therapy (as e.g. massage etc.) is documented. From 1988 on we have 230 variables on every patient in our computers. Actual and further use of the system is described.
我们介绍了用于住院心理治疗的蒂芬布伦文档系统的开发情况。概述了该系统的目标、架构以及使系统运行所面临的一些困难。简述了新开发的工具。患者会收到一份关于其社会状况和原生家庭的问卷。同时，治疗师在患者出院时记录症状、诊断、工作能力、预后、预处理和慢性化情况（诊断表一）以及治疗结果（诊断表二）。治疗期间会记录辅助治疗（如按摩等）。自1988年起，我们在计算机中为每位患者存储了230个变量。描述了该系统的实际应用和进一步用途。
