Effectiveness of Peer Support in Reducing Readmissions of Persons With Multiple Psychiatric Hospitalizations
Effectiveness of Peer Support in Reducing Readmissions of Persons With Multiple Psychiatric Hospitalizations
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DOI：
10.1176/ps.62.5.pss6205_0541
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发表时间：
2011-05-01
影响因子：
3.8
通讯作者：
Davidson, Larry
中科院分区：
文献类型：
--
作者：
Sledge, William H.;Lawless, Martha;Davidson, Larry
目的：本研究探讨使用同侪支持以减少精神科住院复发的可行性及有效性。研究方法：研究采用随机对照设计，从一家学术附属精神病医院出院后随访9个月。患者年龄在18岁或以上，患有严重精神疾病，在过去18个月内住院3次或以上。招募了74名患者，随机分配到常规护理组（N = 36）或同伴导师加常规护理组（= 38），并在9个月时进行评估。结果如下：被分配了同伴指导的参与者的再住院率显著降低（0.89 +/-1.35 vs 1.53 +/-1.54; p = 0.042 [单尾]），住院天数显著减少（10.08 +/-17.31 vs 19.08 +/-21.63天; p
Objective: The study examined the feasibility and effectiveness of using peer support to reduce recurrent psychiatric hospitalizations. Methods: A randomized controlled design was used, with follow-up at nine months after an index discharge from an academically affiliated psychiatric hospital. Patients were 18 years or older with major mental illness and had been hospitalized three or more times in the prior 18 months. Seventy-four patients were recruited, randomly assigned to usual care (N=36) or to a peer mentor plus usual care ( =38), and assessed at nine months. Results: Participants who were assigned a peer mentor had significantly fewer rehospitalizations (.89 +/- 1.35 versus 1.53 +/- 1.54; p=.042 [one-tailed]) and fewer hospital days (10.08 +/- 17.31 versus 19.08 +/- 21.63 days; p