Ruud T, Martinsen E W, Friis S
Nordfjordeid Psychiatric Center, Norway.
Acta Psychiatr Scand. 1998 Jan;97(1):55-61. doi: 10.1111/j.1600-0447.1998.tb09963.x.
A total of 107 chronic in-patients in a catchment area of 106,000 inhabitants were rated for psychopathology on the Brief Psychiatric Rating Scale expanded version (BPRS-E), for level of functioning on the Rehabilitation Evaluation Hall And Baker (REHAB), and for geriatric problems on the Geriatric Rating Scale (GRS). The results showed low levels of severe psychopathology and low to moderate levels of functioning, indicating that the main obstacle to community placement was the lack of functioning. Global assessment by ward nurses with regard to the future level of care needed divided the patients into three categories: 40 patients in need of a psychiatric nursing home, 30 patients in need of a general nursing home, and 37 patients who could potentially be discharged to apartments with community support. This study indicates that the REHAB may help to identify patients who are potential candidates for community placement, while the BPRS-E may help to identify patients who are still in need of care in a psychiatric institution.
在一个拥有10.6万居民的集水区，共有107名慢性住院患者接受了评估，评估内容包括使用简明精神病评定量表扩展版（BPRS-E）评定精神病理学、使用康复评估厅与贝克量表（REHAB）评定功能水平以及使用老年评定量表（GRS）评定老年问题。结果显示，严重精神病理学水平较低，功能水平为低至中等，这表明社区安置的主要障碍是功能缺失。病房护士对未来所需护理水平的总体评估将患者分为三类：40名需要入住精神病疗养院的患者、30名需要入住普通疗养院的患者以及37名在社区支持下有可能出院入住公寓的患者。这项研究表明，REHAB可能有助于识别有可能被安置到社区的患者，而BPRS-E可能有助于识别仍需要在精神病机构接受护理的患者。
