Hoffmann H, Kupper Z
University Psychiatric Services, Berne, Switzerland.
Compr Psychiatry. 1996 May-Jun;37(3):216-21. doi: 10.1016/s0010-440x(96)90038-3.
Since little is known of the dynamics of the rehabilitation process, this pilot study aims to explore (1) the work performance and personal and social functioning of patients attending a vocational reintegration program; (2) any significant differences in course between successful and unsuccessful patients; and (3) whether these subgroups differed at entrance assessment. Using the 30-item Nurses' Observation Scale for inpatient Evaluation (NOSIE) and a global work performance scale, the sample (N = 31) showed a significant decrease in work performance and a negative trend in most NOSIE scores, instead of the expected steady progress. The turning point is reached after 9 to 12 weeks. In the entrance assessment, the failure subgroup (n = 11) displayed more negative and general symptoms and fewer social skills. It seemed to be not their initial work performance but their resources to cope with the stress of the program that were insufficient. However, not every downhill trend leads automatically to failure, and some patients still have a chance of later improvement.
由于对康复过程的动态了解甚少，本试点研究旨在探索：（1）参加职业重新融入计划的患者的工作表现、个人及社会功能；（2）成功和不成功患者在病程上的任何显著差异；以及（3）这些亚组在入院评估时是否存在差异。使用30项护士住院患者评估观察量表（NOSIE）和一个整体工作表现量表，样本（N = 31）显示工作表现显著下降，且大多数NOSIE评分呈负趋势，而非预期的稳步进展。转折点在9至12周后出现。在入院评估中，失败亚组（n = 11）表现出更多负面和一般症状，社交技能较少。似乎不是他们最初的工作表现不足，而是他们应对该计划压力的资源不足。然而，并非每一个下降趋势都会自动导致失败，一些患者仍有后来改善的机会。
