在精神病学中以康复为导向的日间医院:重新整合的跳板
Ghita Dadi1, Lucie Venet-Kelma2, Mauricette Mendy3
1Hôpital de jour du pôle 15, Groupe hospitalo-universitaire Paris psychiatrie et neurosciences, 1, rue Cabanis, 75014 Paris, France; Service hospitalo-universitaire de santé mentale et thérapeutique-75G14, Groupe hospitalo-universitaire Paris psychiatrie et neurosciences, 1, rue Cabanis, 75014 Paris, France.
日间医院 (DHs) 的新心理社会康复模式显著增加了精神病患者的专业整合. 这种方法改善了长期结果,减少了住院时间,将DH定位为康复的关键脚石.
科学领域:
- 精神病学是一个精神病学.
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 日间医院 (DHs) 旨在将精神病护理转移到社区,但可能无意中延长患者的慢性寿命.
- 缺乏标准化的评估在DHs阻碍客观的数据收集患者的结果.
- 传统的医疗机构模型可能无法最佳地支持患者的康复和重返社会.
研究的目的:
- 评估一个基于部门的日间医院 (DH) 从传统精神病学转变为社会心理康复模式的影响.
- 测量结构化,三阶段康复计划的有效性,重点是专业融合.
- 评估职业融合率的变化及其干预后的长期维持情况.
主要方法:
- 回溯镜像研究设计,比较实践转换前后的护理.
- 实施一种心理社会康复模式,采用不同的治疗工具和三阶段结构.
- 收集和分析关键指标,包括职业融入率和逗留时间.
主要成果:
- 心理社会康复模式导致了职业融合率的显著增加.
- 在为期两年的随访中,成功维持了职业整合.
- 在DH的平均逗留时间减少到大约18个月.
结论:
- 心理社会康复模式在加强精神障碍患者的专业融合方面是有效的.
- 日间医院 (DHs) 可以作为关键的"脚石",促进康复和社区重新融入.
- 这种模式表明了克服慢性病并改善精神病治疗患者结果的有希望的方法.
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