早期终止,对护理的满意度,与住院治疗相比,在家庭治疗期间的共同决策:一个准实验性试验
Stefan Weinmann1,2, Konstantinos Nikolaidis3,4, Gerhard Längle5,6
1Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Hospital an der Lindenhöhe, Offenburg, Germany.
概括
德国的住院同等家庭治疗 (IEHT) 与急性发作期间的传统住院精神病治疗相比,提供了更高的患者满意度和更大的参与决策.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 住院等效家庭治疗 (IEHT) 是德国于2018年实施的一种家庭护理形式.
- 这项研究将IEHT与标准住院精神病治疗进行比较.
研究的目的:
- 为了评估急性精神病发作期间的治疗.
- 为了比较IEHT和住院护理之间的患者参与决策,满意度和退学率.
主要方法:
- 一个准实验性研究与倾向得分匹配的队列.
- 在IEHT的200名服务用户与200名住院治疗者进行了比较.
- 评估过早终止,患者满意度和共享决策 (SDM-Q-9).
主要成果:
- 两组患者在社会人口统计学和临床上是可比的.
- 平均停留时间为IEHT的37天,住院治疗的28天.
- IEHT患者报告说,参与决策和治疗满意度显著提高.
结论:
- 与住院护理相比,IEHT与改善的患者满意度有关.
- 在急性精神病发作期间,IEHT增强了患者参与临床决策.
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