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題名:Re-hospitalization Rates and Associated Risk Factors in Schizophrenia and Affective Disorder Patients at a Local Mental Hospital in Taiwan
書刊名:Taiwanese Journal of Psychiatry
作者:曾秉濤鍾偉倫張志華張義宗林博彥吳景寬
作者(外文):Tseng, Ping-taoChung, Wei-lunChang, Chih-huaChang, Yi-chungLin, Pao-yenWu, Ching-kuan
出版日期:2014
卷期:28:4
頁次:頁258-265+a8
主題關鍵詞:再住院率住院時間長度過去住院次數精神疾病Re-admission rateLength of stayHistory of previous hospitalizationMental illness
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:4
  • 點閱點閱:13
目的:嚴重精神科病人的再住院率比一般人來的高,而這些病人的過高住院費用已經在醫療上造成巨大的負擔,目前雖然已有部分資料探討台灣精神科的再住院率,然而目前尚未有直接比較思覺失調症與情感性疾病再住院率的研究,因此我們分析南台灣某精神科專科醫院這兩種病人再住院率的區別,並分析可能的危險因子。方法:我們在南台灣某精神科專科醫院取樣,取樣時間與對象為2007年這一年之間剛從急性病房出院的病人,且病人須符合思覺失調症或情感性疾病診斷,同時,我們持續追蹤這些個案維持一年的時間。結果:總計收案267人,其中有142位診斷為思覺失調症而有125位為情感性疾病病人。思覺失調症與情感性疾病病人一年內的再住院率分別是37.3%及39.2%,這兩組病人間,「出院後到再住院之間的時間」並無顯著的差異,我們也發現「之前住院次數較多」(p<0.01)及「發病時間越短」(p<0.01)這兩個危險因子都會明顯的增加再住院風險。另一方面,相較於未再住院的病人,再住院的病人年紀顯著比較輕p<0.05)、上次住院時間顯著的較短(p<0.05)、且過去較顯著的多次住院(p<0.05)。討論:本研究的主要發現為:在思覺失調症與情感性疾病病人之間,「出院至再住院間的時間長度」並無明顯差別,且「過去較多次住院」及「發病時間較短」的病人顯著的比較容易再住院。
Background: The "revolving-door" patients have become a challenge for psychiatric care because of the high cost of repeated hospitalizations. The re-hospitalization rate in Taiwan is estimated at 6.1%, 22.3%, and 37.8% in periods of "less than 14 days," "one year," and "five years" after discharge, respectively. But, a direct comparison of re-hospitalization rates for patients with schizophrenia and affective disorders and the associated risk factors in Taiwan is still lacking. We conducted a retrospective study evaluating the re-hospitalization rate and associated risk factors for patients with schizophrenia or affective disorders in southern Taiwan. Methods: We recruited subjects with a diagnosis of schizophrenia or affective disorder, who were discharged in 2007, from the acute ward of one local mental hospital and follow-up. Results: We recruited 267 subjects (142 subjects with schizophrenia and 125 subjects with affective disorder). The re-hospitalization rates in a one-year follow-up were 37.3% and 39.2% for patients with schizophrenia and affective disorder, respectively. No significant differences were found in the "time to re-hospitalization" between the two diagnostic groups. In addition, we found that patients with re-hospitalization had significantly greater number of previous hospitalizations (p<0.01) and significantly shorter length of illness (p<0.01). The re-hospitalized patients were younger significantly (p<0.05), had a significantly shorter length of illness (p<0.05), and significantly more previous hospitalizations (p<0.05) than the non-re-hospitalized patients. Discussion: Our main finding in this study was that no significant difference was found in the "time to re-hospitalization" within one year. Those with a shorter length of illness and more previous hospitalizations had a higher risk of re-hospitalization.
期刊論文
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8.Shepherd, G.、Beadsmoore, A.、Moore, C.、Hardy, P.、Muijen, M.(1997)。Relation between bed use, social deprivation, and overall bed availability in acute adult psychiatric units, and alternative residential options: a cross sectional survey, one day census data, and staff interviews。BMJ,314,262-266。  new window
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10.Lin, C. H.、Huang, C. W.、Chen, C. C.、Hsu, Y. F.、Chang, W. H.、Lane, H. Y.(2008)。Time to rehospitalization in patients with bipolar I disorder on lithium or valproate with adjunctive antipsychotics。Psychopharmacology,200,301-303。  new window
11.Lin, C. H.、Lin, K. S.、Lin, C. Y.、Chen, M. C.、Lane, H. Y.(2008)。Time to rehospitalization in patients with major depressive disorder taking venlafaxine or fl uoxetine。J Clin Psychiatry,69,54-59。  new window
12.Lin, C. H.、Chen, Y. S.、Lin, C. H.、Lin, K. S.(2007)。Factors affecting time to rehospitalization for patients with major depressive disorder。Psychiatry Clin Neurosci,61,249-254。  new window
13.Lin, H. C.、Tian, W. H.、Chen, C. S.、Liu, T. C.、Tsai, S. Y.、Lee, H. C.(2006)。The association between readmission rates and length of stay for schizophrenia: a 3-year populationbased study。Schizophr Res,83,211-214。  new window
14.Tang, C. H.、Hsieh, M. H.、Hung, S. T.、Lee, I. H.、Lin, Y. J.、Yang, Y. K.(2010)。One-year post-hospital medical costs and relapse rates of bipolar disorder patients in Taiwan: a population-based study。Bipolar Disord,12,859-865。  new window
15.Latalova, K.、Prasko, J.、Kamaradova, D.、Sedlackova, J.、Ociskova, M.(2013)。Comorbidity bipolar disorder and personality disorders。Neuro Endocrinol Lett,34,1-8。  new window
16.張家銘、李俊毅、李昱、楊明仁、文榮光(20010100)。Predictors of Readmission to a Medical-psychiatric Unit among Patients with Minor Mental Disorders。長庚醫學,24(1),34-43。  延伸查詢new window
17.Chien, I. C.、Chou, Y. J.、Lin, C. H.、Bih, S. H.、Chang, H. J.、Chou, P.(2004)。Use of health care services and costs of psychiatric disorders among National Health Insurance enrollees in Taiwan。Psychiatr Serv,55,1427-1430。  new window
18.黃仁弘、黃立中、張玉坤、張國榮、戴月明(20130900)。Factors Affecting the Readmission Rate after Psychiatric Home Treatment。Taiwanese Journal of Psychiatry,27(3),205-215+a7。new window  延伸查詢new window
圖書
1.American Psychiatric Association(2000)。Diagnostic and Statistical manual of mental disorders。Washington, DC:Book Promotion & Service LTD。  new window
 
 
 
 
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