Residential program for long-term hospitalized persons with mental illness in Japan: Randomized controlled trial
Residential program for long-term hospitalized persons with mental illness in Japan: Randomized controlled trial
复制标题
DOI：
10.1111/j.1440-1819.2007.01701.x
复制
发表时间：
2007-10-01
影响因子：
11.9
通讯作者：
Mino, Yoshio
中科院分区：
文献类型：
--
作者：
Chan, Hong;Inoue, Shimpei;Mino, Yoshio
关于长期集体居住的优点的研究尚无定论。本研究的目的是探讨日本精神科床位多、平均住院时间长的患者在支持性集体居住的情况下，其症状、社会功能、生活质量、总体健康质量和医疗/精神科费用的影响。采用阳性和阴性症状量表、Katz适应量表、世界卫生组织生活质量量表（WHO-QOL）和一般健康问卷（12题版），每6个月对患者进行一次评估，持续2年。出院到支持性集体住宅（SGR）的患者在阳性症状、社会期望活动水平和空闲时间活动方面均有显著改善。与SGR组相比，住院患者的QOL身体领域明显恶化。SGR组的总精神/医疗费用约为住院组的三分之一，而SGR治疗身体合并症的费用要高得多。目前的研究结果表明，SGR的心理和社会功能的优势，但不是身体健康。本研究的一个主要局限性是长期住院（平均24岁）的受试者平均年龄较高（> 60岁）。
Research on the merits of long-term group residences is inconclusive. The purpose of the present paper was to investigate the effects of supported group residence on the symptoms, social function, quality of life, general health quality, and the medical/psychiatric cost in Japan of a large number of psychiatric beds and long average length of stay. Patients were assessed every 6 months for 2 years using Positive and Negative Syndrome Scale, Katz Adjustment Scale, World Health Organization Quality of Life (WHO-QOL) and General Health Questionnaire 12-item version. Patients discharged to the supported group residence (SGR) significantly improved with regard to positive symptoms, the level of socially expected activities and free-time activities. The QOL physical domain of the inpatients was significantly more deteriorated compared to the SGR group. The total psychiatric/medical cost of the SGR group was approximately one-third that of the inpatient group, while the cost of the SGR to treat physical comorbidity was much higher. The present findings indicate that SGR has advantages for mental and social function but not for physical health. A major limitation of the present study was the high mean age (> 60 years) of the subjects who had been hospitalized for a long period (mean, 24 years).