生物心理社会复杂性和强制性入院精神病房:一项追溯观察性研究
Mattia Marchi1, Gianluca Fiore2, Gloria Bizzarri2
1Department of Biomedical, Metabolic and Neural Science, University of Modena & Reggio Emilia, Italy; Dipartimento di Salute Mentale e Dipendenze Patologiche, Azienda USL IRCCS di Reggio Emilia, Reggio Emilia, Italy.
评估生物心理社会复杂性的INTERMED尺度可以预测强制性精神病医院入院情况. 较高的分数,特别是在心理和卫生系统领域,表明风险增加.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- INTERMED尺度通过在心理,生物,社会和卫生系统领域进行半结构面试来评估生物心理社会 (BPS) 复杂性.
- 了解预测强制入院 (CA) 的因素对于精神病患者管理至关重要.
研究的目的:
- 评估INTERMED尺度在预测精神病患者强制入院 (CA) 的有用性.
- 为了确定与较高的CA风险相关的特定INTERMED领域.
主要方法:
- 追溯收集社会人口统计和临床数据,包括INTERMED和HoNOS分数,对332名根据CA或自愿入院 (VA) 住院的患者.
- 分析使用描述性统计,Chi2,t测试和单变物流回归来确定CA的预测因素,包括INTERMED分数.
- 根据INTERMED分数计算CA的95%置信区间 (95%CI) 的几率比率 (ORs).
主要成果:
- 患者表现出显著的BPS复杂性 (平均INTERMED分数为25.8±8.4),在大多数INTERMED领域的CA患者中观察到更高的复杂性.
- 高的INTERMED总得分 (OR: 1.05 [95% CI: 1.02; 1.08]) 预测了CA.
- 具体来说,心理 (OR: 1.30 [95% CI: 1.18; 1.44]) 和健康系统 (OR: 1.15 [95% CI: 1.05; 1.25]) 领域的高分数是CA的重要预测因素.
结论:
- 在INTERMED尺度尺寸和强制性精神病医院入院之间存在显著的关联.
- INTERMED尺度表现出作为查工具的潜力,用于识别患者的弱点.
- 调查结果可以为旨在减少住院和强制入院的临床策略提供信息.
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