在精神病医院住院护理中与再入院相关的因素:基于医院登记的前性队列研究
Marianna Virtanen1, Laura Peutere2,3, Mikko Härmä4
1School of Educational Sciences and Psychology, University of Eastern Finland, P.O. Box 111, Joensuu, 80101, Finland. marianna.virtanen@uef.fi.
BMC psychiatry
|October 25, 2024
概括
精神病医院住院患者的再接收与特定患者的诊断和先前住院情况有关,而不是病房过载. 识别这些风险因素可以改善护理规划,减少再入院.
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
- 流行病学 流行病学
背景情况:
- 精神病医院住院患者的再入院可能表明在护理提供方面存在问题.
- 导致再接收的潜在因素需要进一步调查.
研究的目的:
- 检查患者的特征,治疗因素和病房超负荷与精神病医院住院病人再入院的关系.
- 确定最初和多重再录取的预测因素.
主要方法:
- 利用来自芬兰单一医院区的例行收集数据.
- 分析了2018年开始的2052例住院治疗情况.
- 评估30天内和一年内再接收的情况,以及再接收人数.
主要成果:
- 11%的患者在30天内重新入院,33%在一年内重新入院.
- 与更高的再接收风险相关的因素包括女性性别,先前住院,特定的ICD-10诊断 (行为综合征,神经障碍,精神障碍) 和神经调节治疗.
- "心理发育障碍"和"在儿童/青少年时期出现的行为和情绪障碍"的诊断与更低的再录取概率有关.
- 治疗持续时间和病房超负荷与再入院没有显著关联.
结论:
- 确定了精神病室住院患者再入院的潜在风险因素,有助于护理规划.
- 风险因素在不同类型的再接收中有所不同.
- 强调需要调查儿童和青少年精神病治疗中潜在的未满足治疗需求.
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