基于社区的精神康复途径和再入院轨迹之间的关系:三十年的随访
Sharon Florentin1, Yehuda Neumark2, David Roe3
1Department of Psychiatry, Hadassah Medical Center, Jerusalem, Israel; Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
社区精神康复服务显著延长了精神分裂症患者再入院的时间. 综合住宿和职业支持提供了最大的重新住院日数减少,有助于长期康复.
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:
- 精神科康复对于精神分裂症的康复至关重要,但重新入院仍然是一个挑战.
- 了解社区精神科康复服务 (PRS) 对长期再入院的影响至关重要.
研究的目的:
- 检查不同类型的社区PRS与精神分裂症和精神分裂情绪障碍患者的长期再住院参数之间的关联.
- 分析PRS对年度再入院日 (ARHD) 和再入院时间的影响.
主要方法:
- 分析了5163名被诊断为精神分裂症和精神分裂情绪障碍的成年人的国家注册数据.
- 在三个时期内跟踪经常住院的患者:立法前 (1991-2000年),实施 (2001-2009年) 和后续 (2010-2017年).
- 在随访期间,对PRS类型和ARHD之间的关联进行统计分析.
主要成果:
- 接受康复服务的患者的再入院时间中位数为757天,而非康复组的时间为321天.
- 综合住院和职业康复减少了20天的ARHD;单独住院或职业康复分别减少了2天和5天的ARHD.
- 支持就业和受保护的工作坊显示ARHD (17天) 的最大减少. 较高的住宅支持水平与减少的ARHD有关.
结论:
- 基于社区的PRS与精神分裂症患者的再入院时间延长和再入院日减少有关.
- 职业和住院服务的结合表明在减少再住院治疗方面具有协同效应.
- 对于PRS用户来说,经常性住院时间较短,这可能表明PRS在康复过程中发挥了作用.
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