对智力边缘的精神病患者进行密集的病例管理. 英国 700 集团
Lancet (London, England)
|September 29, 1999
概括
密集的病例管理显著减少了复发性精神疾病和边缘性学习障碍患者的住院治疗. 这种方法在管理长期护理需求方面比标准病例管理更有效.
科学领域:
- 精神病学是一个精神病学.
- 心理健康服务研究 心理健康服务研究
- 学习障碍研究 学习障碍研究
背景情况:
- 复发性精神疾病和边缘性学习障碍带来了复杂的护理挑战.
- 有效的管理策略对于减少住院治疗和改善患者治疗结果至关重要.
- 现有的标准病例管理可能无法充分满足这一群体的多方面的需求.
研究的目的:
- 为了比较密集案例管理与标准案例管理的有效性.
- 评估对复发性精神病障碍和边缘性学习障碍患者住院率的影响.
- 确定不同案例管理方法的长期影响.
主要方法:
- 随机对照试验设计.随机对照试验设计.
- 包括被诊断患有复发性精神病障碍和边缘性学习障碍的患者.
- 分配到密集案例管理或标准案例管理组.
- 追踪随后在医院度过的时间作为主要结果措施.
主要成果:
- 接受密集病例管理的患者与接受标准病例管理的患者相比,在医院的住院时间不到一半.
- 在密集病例管理组中观察到医院利用率的显著减少.
- 这表明,在治疗复发性精神病障碍和同时出现的边缘性学习障碍方面,有明显的改善.
结论:
- 密集病例管理是一种非常有效的干预措施,可以减少患有复发性精神病症和边缘性学习障碍的患者住院治疗.
- 这种方法提供了比标准病例管理更节省资源和以患者为中心的替代方案.
- 进一步实施密集病例管理对于这个脆弱的患者群体是有必要的.
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