在密集的家庭治疗期间,是否可以预测住院治疗? 一个回顾性队列研究
A Martín-Blanco1,2,3,4, A González-Fernández3,5, S Vieira5
1Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
International journal of psychiatry in clinical practice
|February 15, 2025
概括
强化家庭治疗 (IHT) 患者有先前住院,更多的入院,和更高的临床严重程度,有更高的转院风险. 这些发现支持加强对高风险个体的家庭支持.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 临床精神病学 临床精神病学
- 医疗保健管理的管理
背景情况:
- 强化家庭治疗 (IHT) 为急性住院护理提供了替代方案.
- 了解从IHT转移到医院的预测因素对于优化患者护理和资源配置至关重要.
研究的目的:
- 确定预测住院转院需求的变量,用于在住院接受强化家庭治疗 (IHT) 的患者.
主要方法:
- 对前1000个IHT事件的分析.
- 检查潜在预测因素和医院转移之间的粗略关联.
- 医院转移结果预测模型的开发.
主要成果:
- 更高的转移风险与之前的住院 (OR=2.6),前5年增加的入院,以及在IHT入院时更大的临床严重程度有关.
- 包括年龄,先前入院,临床严重程度和物质使用在内的预测模型显示性能有限 (AUC=0.752).
结论:
- 这些发现与国际研究一致,表明IHT可以用于严重病例.
- 结果主张加强IHT患者的家庭支持,特别是那些有住院史或高临床严重性的患者.
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