English  |  正體中文  |  简体中文  |  全文筆數/總筆數 : 58335/91896 (63%)
造訪人次 : 2459      線上人數 : 126
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library & TKU Library IR team.
搜尋範圍 查詢小技巧:
  • 您可在西文檢索詞彙前後加上"雙引號",以獲取較精準的檢索結果
  • 若欲以作者姓名搜尋,建議至進階搜尋限定作者欄位,可獲得較完整資料
  • 進階搜尋
    請使用永久網址來引用或連結此文件: http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/93110


    題名: Factors Affecting the Readmission Rate after Psychiatric Home Treatment
    其他題名: 居家治療影響再住院次數之相關因素
    作者: Huang, Jen-Hung;Huang, Li-Chung;Chang, Yue-Cune;Chang, Kuo-Jung;Tai, Yueh-Ming
    貢獻者: 淡江大學數學學系
    關鍵詞: 居家治療;精神科重複住院;社區精神醫療;慢性精神疾病;home treatment;psychiatric readmission;community mental health;chronic mental disorder
    日期: 2013-09
    上傳時間: 2013-11-21 15:08:07 (UTC+8)
    出版者: 台北市:台灣精神醫學會
    摘要: Objective: The objective of this study was to explore the factors associated with differences in hospital admission rates before and after psychiatric home treatment in Taiwan. Specifically, this study was to focus on social, demographic, clinical, and service-related factors. Methods: We recruited 97 convenient samples of patients who received psychiatric home treatment from either the Beitou Branch, Tri-Service General Hospital (Beitou Branch, TSGH) in Taipei, Taiwan, or Chiayi Christian Hospital (CCH) in Chiayi, Taiwan. The data were collected from the participants' home treatment medical records and from data of interviews with their case managers to assess the effects of several factors on the numbers of hospital admissions before and after home treatment. Results: A generalized, multivariate linear model revealed that more frequent hospital admissions were significantly associated with more difference in admission after home treatment (p < 0.001). In addition, higher Clinical Global Impressions-Severity (CGI-S) scores (p < 0.001) and a criminal history (p < 0.01 in univariate analysis, and p < 0.05 in multivarate anlysis) were significantly associated with less improved hospital admission. The most important predictors of improvements in hospital admission rates after home treatment in Taiwan were the previous admission rate, CGI-S score and criminal history. Previous admission positively predicts the improvement in hospital admission whereas CGI-S and criminal history predict negatively. Conclusion: Our findings of this study suggest that home treatment should be encouraged among patients with higher rates of previous hospital admissions. In addition to home treatment, other adjuvant interventions should be used for patients with high CGI-S scores or criminal records to reduce the likelihood of future hospitalization.
    目的:本研究主要探討影響台灣居家治療改善住院次數之相關因素,以為將來介入處遇之參考依據。方法:由三總北投分院正接受居家治療的病人中抽樣70人,並由嘉義基督教醫院正接受居家治療的病人中抽樣27人。收集歷年居家治療病歷記錄及個管師會談結果做描述統計、廣義線性模型進行比較分析。結果:研究結果顯示先前住院次數與居家治療對住院次數之改善效果有顯著正相關(p<0.001)。病情嚴重度(以CGI-S分數表示)(p<0.001)及先前犯罪史(p<0.01或p<0.05〔兩種分析的結果〕)與居家治療對住院次數之改善效果有顯著負相關。結論:建議精神醫療從業人員可多鼓勵先前住院次數多的精神病患接受居家治療以改兩善住院次數,而對於病情較嚴重或是先前有犯罪史的病人則可能需要更多關注與介入,才較有可能見著居家治療來達到改善效果。
    關聯: 臺灣精神醫學=Taiwanese Journal of Psychiatry 27(3),頁205-215
    顯示於類別:[數學學系暨研究所] 期刊論文

    文件中的檔案:

    檔案 描述 大小格式瀏覽次數
    Factors Affecting the Readmission Rate after Psychiatric Home Treatment.pdf245KbAdobe PDF0檢視/開啟
    index.html0KbHTML262檢視/開啟

    在機構典藏中所有的資料項目都受到原著作權保護.

    TAIR相關文章

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library & TKU Library IR teams. Copyright ©   - 回饋