住院患者职业治疗利用与退伍军人中精神病再入院风险降低的关联
Adam R Kinney1, Molly E Penzenik1, Jeri E Forster1
1Rocky Mountain Mental Illness Research, Education, and Clinical Center for Suicide Prevention, Rocky Mountain Regional Veterans Affairs (VA) Medical Center, Aurora, Colorado (Kinney, Penzenik, Forster, Brenner); Department of Physical Medicine and Rehabilitation, Anschutz Medical Campus, University of Colorado, Aurora (Kinney, Penzenik, Forster); Department of Rehabilitation and Prosthetic Services, Veterans Health Administration, Washington, D.C. (O'Donnell); Departments of Physical Medicine and Rehabilitation, Psychiatry, and Neurology, Anschutz Medical Campus, University of Colorado, Aurora (Brenner).
退伍军人住院职业治疗 (OT) 服务与30天精神病重收的风险降低有关. 虽然没有明确的剂量反应,但OT利用显示了改善精神病医疗质量和减少再入院的希望.
科学领域:
- 精神病学是一个精神病学.
- 职业疗法 职业疗法 职业疗法
- 医疗保健服务研究 医疗服务研究
背景情况:
- 精神病重生病例在医疗保健中构成了重大挑战,影响了患者的康复,并产生了巨大的成本.
- 退伍军人健康管理局 (VHA) 旨在优化护理服务,并减少精神病患者退伍军人的不良结果.
研究的目的:
- 调查住院职业治疗 (OT) 使用与退伍军人中30天精神病再入院的风险之间的关联.
- 分析不同程度的住院OT参与对再接收率的影响.
主要方法:
- 2015-2020年VHA医疗记录数据的二次分析 (N=176,889) 对于接受住院精神病治疗的退伍军人.
- 混合效应物流回归建模,以评估住院精神病医疗OT遭遇和30天再入院之间的关系,控制各种患者,临床和设施因素.
- 进行了敏感性分析,包括通过排放处置进行分层,以确保调查结果的可靠性.
主要成果:
- 少数退伍军人接受了住院精神病OT (26.2%),8.4%的退伍军人经历了30天的再入院.
- 与没有接受OT的退伍军人相比,接受一个或多次住院OT接触的退伍军人显示,30天精神病再接收风险在统计学上显著降低.
- 观察到的OT的保护作用在所有灵敏度分析中是一致的,表明可靠的关联.
结论:
- 住院职业治疗服务与VHA人群中精神病再入院的可能性较低有关.
- 该研究表明,通过防止昂贵的再入院,OT可能有助于高价值的精神病治疗,尽管直接的剂量反应关系尚未确定.
- 需要进一步的研究来证实因果关系,并为旨在扩大进入住院精神病治疗的政策提供信息.
相关概念视频
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Restorative Care
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Classification of Illness
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
Post-traumatic Stress Disorder
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Operant Conditioning Intervention
In operant conditioning, behaviors that are...


