SEVERELY MENTALLY ILL IN GENERAL HOSPITALS

综合医院的严重精神病患者

• 批准号: 2240371
• 负责人: MARK OLFSON
• 金额: $ 11.2万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-12-01 至 1997-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2240371
• 关键词: drug abuse therapy; family structure /dynamics; health care service evaluation; health education; hospital patient care; human subject; human therapy evaluation; medical complication; psychiatric patient care; psychosocial rehabilitation; schizophrenia; social service

The research component will focus on the content of care received by schizophrenic patients in general hospital psychiatric units. It will examine the range of routine treatment practices, the institutional and clinical determinants of routine treatment practices, and the short-term clinical consequences of variations in inpatient treatment. The research will be conducted via three related studies: 1) a statewide survey of general hospital psychiatric units (N=98) to characterize the prevalence and distribution of innovative inpatient treatment practices. These innovative practices include an emphasis on medication compliance, continuity of care, patient education, family involvement, substance abuse treatment, procurement of social services, psychosocial rehabilitation, and support, 2) A prospective patient study (N=400) to assess the effects of these innovative treatment practices on short-term (12 week) clinical outcome, and 3) An analysis of survey data on the inpatient treatment of schizophrenia (N=1,509) to examine the influence of patient variables such as comorbidity, legal status, source of payment, and chronicity of illness on the clinical content of inpatient care.

研究部分将重点关注患者接受的护理内容 综合医院精神科的精神分裂症患者。它将 检查常规治疗实践的范围、机构和 常规治疗实践的临床决定因素和短期治疗 住院治疗变化的临床后果。研究 将通过三项相关研究进行：1）全州范围内的调查 综合医院精神病科 (N=98) 来描述患病率 创新住院治疗实践的传播。这些 创新实践包括强调用药依从性， 护理的连续性、患者教育、家庭参与、实质内容 虐待治疗、购买社会服务、社会心理 康复和支持，2) 一项前瞻性患者研究 (N=400) 评估这些创新治疗实践对短期的影响 （12 周）临床结果，以及 3) 调查数据分析 精神分裂症住院治疗（N=1,509）以检验其影响 患者变量，例如合并症、法律状况、来源 住院患者临床内容的付费情况和疾病慢性程度 关心。