希腊雅典一家日托中心的坚定的社区治疗计划:从回顾性队列研究的结果
Kyriaki Tsikou1, Sofia Nikolaidi1, Dimitrios Trivellas1
1Association for Regional Development and Mental Health (EPAPSY), Athens, Greece.
The International journal of social psychiatry
|May 28, 2025
概括
坚定的社区治疗 (ACT) 显著减少了严重精神疾病 (SMI) 患者的精神病医院住院. 较高的基线功能与较少的住院病例相关,突出显示ACT.
科学领域:
- 精神病学和心理健康服务研究研究
- 社区心理健康社区精神健康
- 医疗服务管理 医疗服务管理
背景情况:
- 门诊护理模式,包括坚定的社区治疗 (ACT),已经出现,以管理严重精神疾病 (SMI).
- ACT被公认为SMI的高效治疗方法,得到了广泛的研究支持.
研究的目的:
- 评估基于ACT的计划在减少精神病医院住院的有效性.
- 检查在ACT干预期间基线功能和住院率之间的关系.
主要方法:
- 以ACT为基础的计划 (2013-2020年) 提及的个人的回顾性队列研究.
- 对治疗开始前后精神病医院住院率的分析.
- 纳入标准:所有被提及的个人,41.9%之前住院治疗.
主要成果:
- ACT干预与干预后一年住院的几率降低有关.
- 与治疗前一年相比,患者入院数量有显著的下降.
- 较高的基线功能预测在ACT期间住院几率较低.
结论:
- ACT在减少SMI患者的精神病医院住院的有效性得到了证明.
- 基线功能是住院风险的潜在早期预后指标.
- 调查结果支持加强以社区为基础的心理健康服务和在希腊实施ACT.
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