在急性精神病医院住院患者的再接收和患者报告的措施之间的关联:一个多中心前性纵向研究
Sosei Yamaguchi1, Yasutaka Ojio2, Junko Koike2
1Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, 187-8553, Japan. sosei.yama@ncnp.go.jp.
Social psychiatry and psychiatric epidemiology
|August 5, 2024
概括
患者在出院时报告的措施没有预测精神病患者的再接收风险. 然而,重新接收与功能障碍的恶化有关,这表明需要释放后的支持.
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
- 患者报告的结果
背景情况:
- 患者报告的措施 (PRMs) 评估生活质量,行动能力和功能.
- 预测精神病重收是有效的患者护理的关键.
- 释放的PRM对预测再接收的有用性需要进一步研究.
研究的目的:
- 为了确定医院出院时的PRM是否预测了12个月的精神病重收.
- 检查回收对PRM随着时间的推移的影响.
主要方法:
- 这是一项前性队列研究,涉及日本21家医院的491名精神病患者.
- 患者在入院,出院和出院6/12个月后完成了生活质量 (EQ-5D),个人行为和功能障碍 (SDS) 尺度.
- 混合效应模型分析了PRM和再接收之间的关联,以及再接收对PRM的影响.
主要成果:
- 释放时没有PRM与12个月的再录取有显著的关联.
- 退院后6至12个月期间,重收显著恶化的功能障碍 (SDS分数).
- 在对共变量进行调整后,这些对功能障碍的影响并不显著.
结论:
- 出院PRM不是精神病重收的可靠预测指标.
- 再接收可能会对功能障碍产生负面影响,强调需要强有力的出院后护理.
- 密集的后释放服务可能比释放PRM更有效地防止再接收.
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