Quality of life and clinical predictors of rehospitalization of persons with severe mental illness.
Quality of life and clinical predictors of rehospitalization of persons with severe mental illness.
复制标题
严重精神疾病患者的生活质量和再住院的临床预测因素。
DOI：
10.1176/ps.46.11.1161
复制
发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Lehman,AF
中科院分区：
文献类型：
--
作者：
Postrado,LT;Lehman,AF
该研究探讨了严重和持续性精神疾病患者的再住院是否可以通过患者的生活质量来预测。与再住院相关的两个临床因素的预测能力-住院史和症状的严重程度-也examined.MethodsA共559例患者进行了评估，在两个随访点，两个和12个月后，指数出院。比较两次随访期间再次住院和未再次住院的患者的主观和客观生活质量、首次随访时症状严重程度和既往再次住院情况。多变量分析被用来确定最好的预测因素再住院。结果与未再住院的患者相比，那些再住院的患者有更严重的症状，更有可能有住院史。再次住院的患者对家庭关系更加不满，更有可能在过去两个月内报告逮捕。两组没有不同的其他生活质量领域和全球quality of life.ConclusionsThe最好的预测再住院治疗的是以前的再住院治疗，更严重的症状，并与家庭关系的不满。干预措施应促进严重精神疾病患者与其家人之间的积极关系，以减少复发和再次住院的风险。
ObjectiveThe study examined whether rehospitalization of patients with severe and persistent mental illness could be predicted by patients' quality of life. The predictive ability of two clinical factors associated with rehospitalization--history of hospitalizations and severity of symptoms--was also examined.MethodsA total of 559 patients were assessed at two follow-up points, two and 12 months after an index hospital discharge. Patients who were rehospitalized and those who were not rehospitalized between the two follow-up points were compared on subjective and objective quality of life, symptom severity at first follow-up, and previous rehospitalization. Multivariate analysis was used to determine the best predictors of rehospitalization.ResultsCompared with patients who were not rehospitalized, those who were rehospitalized had more severe symptoms and were more likely to have a history of hospitalization. Rehospitalized patients reported more dissatisfaction with family relations and were more likely to report an arrest in the past two months. The two groups did not differ in other quality-of-life domains and in global quality of life.ConclusionsThe best predictors of rehospitalization were previous rehospitalization, more severe symptoms, and dissatisfaction with family relations. Interventions should promote positive relationships between patients with severe mental illness and their families to reduce the risk of relapse and rehospitalization.
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人口统计特征作为出院后就业和再入院的预测因素。
影响因子：
5.9
作者：
T. Lorei;L. Gurel
通讯作者：
L. Gurel
影响因子：
3.3
作者：
MOSHER, LR;MENN, A;MATTHEWS, SM
通讯作者：
MATTHEWS, SM
评估精神病患者的生活质量
影响因子：
2.9
作者：
J. L. Franklin;J. Simmons;B. Solovitz;J. R. Clemons;G. Miller
通讯作者：
G. Miller
精神分裂症的住院时间和累犯：对公立精神病医院患者的研究。
DOI：
10.1176/ajp.150.1.72
发表时间：
1993
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Lawrence Appleby;Prakash N. Desai;Daniel J. Luchins;Robert D. Gibbons;Donald Hedeker
通讯作者：
Donald Hedeker
DOI：
10.1037/0003-066x.37.4.349
发表时间：
1982
期刊：
The American psychologist
影响因子：
--
作者：
C. Kiesler
通讯作者：
C. Kiesler