The effects of a transitional discharge model for psychiatric patients.
The effects of a transitional discharge model for psychiatric patients.
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DOI：
10.1111/j.1365-2850.2004.00692.x
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发表时间：
2004-02-01
影响因子：
2.7
通讯作者：
Cameron, D
中科院分区：
文献类型：
--
作者：
Reynolds, W;Lauder, W;Cameron, D
这项试点随机对照试验的动机是发现许多有精神健康问题的人在一年内再次住院，许多人无法完全适应社区生活。提出了一种称为过渡性出院的干预形式的解决方案。过渡性出院模式包括：（1）同伴支持，即来自前患者的帮助，他们提供友谊、理解和鼓励;（2）住院和社区工作人员重叠，住院工作人员继续与出院患者合作，直到与社区护理提供者建立工作关系。本研究的总体目的是测试出院模式，旨在帮助急性入院病房出院的患者适应社区生活。这一目标通过一些相关的假设进行了测试，这些假设表明，在从精神病医院的急性入院病房出院后5个月，参与过渡出院模式的个人：（1）报告较少的症状;（2）报告更好的功能水平;（3）生活质量更好;（4）不太可能再次入院。该研究采用随机实验设计，有两种条件：实验和常规治疗。总体而言，5个月后，对照组和实验组的症状严重程度和功能能力均有显著改善。对照组中接受药物治疗的受试者再次入院的可能性是对照组的两倍多。这项研究需要在苏格兰复制更大的样本，并与干预的修改变化称为过渡性护理干预。
This pilot randomized control trial was motivated by the discovery that many individuals with mental health problems are re-hospitalized within a year, with many being unable to fully adjust to community living. A solution was proposed in the form of an intervention called transitional discharge. The transitional discharge model included: (1) peer support, which is assistance from former patients who provide friendship, understanding and encouragement; and (2) overlap of inpatient and community staff in which the inpatient staff continue to work with the discharged patient until a working relationship is established with a community care provider. The overall aim of this study was to test the discharge model designed to assist patients discharged from acute admission wards to adjust to community living. This aim was tested through a number of related hypotheses, which suggest that, 5 months following discharge from an acute admission ward of a psychiatric hospital, individuals participating in a transitional discharge model: (1) report fewer symptoms; (2) report better levels of functioning; (3) have better quality of life; (4) are less likely to have been re-admitted to hospital. The study used a randomized experimental design with two conditions: experimental and usual treatment. In general, both the control and the experimental group demonstrated significant improvements in symptom severity and functional ability after 5 months. Usual treatment subjects in the control group were more than twice as likely to be re-admitted to hospital. This study needs to be replicated in Scotland with a larger sample and with a modified variation of the intervention called the Transitional Care Intervention.