資料載入處理中...
臺灣人文及社會科學引文索引資料庫系統
:::
網站導覽
國圖首頁
聯絡我們
操作說明
English
(3.129.67.38)
登入
字型:
**字體大小變更功能,需開啟瀏覽器的JAVASCRIPT,如您的瀏覽器不支援,
IE6請利用鍵盤按住ALT鍵 + V → X → (G)最大(L)較大(M)中(S)較小(A)小,來選擇適合您的文字大小,
如為IE7以上、Firefoxy或Chrome瀏覽器則可利用鍵盤 Ctrl + (+)放大 (-)縮小來改變字型大小。
來源文獻查詢
引文查詢
瀏覽查詢
作者權威檔
引用/點閱統計
我的研究室
資料庫說明
相關網站
來源文獻查詢
/
簡易查詢
/
查詢結果列表
/
詳目列表
:::
詳目顯示
第 1 筆 / 總合 1 筆
/1
頁
來源文獻資料
摘要
外文摘要
引文資料
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-tao
/
Chung, Wei-lun
/
Chang, Chih-hua
/
Chang, Yi-chung
/
Lin, Pao-yen
/
Wu, 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 rate
;
Length of stay
;
History of previous hospitalization
;
Mental illness
原始連結:
連回原系統網址
相關次數:
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:
4
共同引用:
4
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。
以文找文
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.
以文找文
期刊論文
1.
Gastal, F. L.、Andreoli, S. B.、Quintana, M. I.、Almeida, G. M.、Leite, S. O.、McGrath, J.(200006)。Predicting the revolving door phenomenon among patients with schizophrenic, affective disorders and non-organic psychoses。Rev SaudePublica,34(3),280-285。
2.
Zhang, J.、Harvey, C.、Andrew, C.(2011)。Factors associated with length of stay and the risk of readmission in an acute psychiatric inpatient facility: a retrospective study。AustNZ J Psychiatry,45,578-578。
3.
Smit, F.、Cuijpers, P.、Oostenbrink, J.、Batelaan, N.、de Graaf, R.、Beekman, A.(2006)。Costs of nine common mental disorders: implications for curative and preventive psychiatry。J Ment Health Policy Econ,9,193-200。
4.
Appleby, L.、Desai, P. N.、Luchins, D. J.、Gibbons, R. D.、Hedeker, D. R.(1993)。Length of stay and recidivism in schizophrenia: a study of public psychiatric hospital patients。American Journal of Psychiatry,150,72-76。
5.
Prince, J. D.、Akincigil, A.、Kalay, E.(2008)。Psychiatric rehospitalization among elderly persons in the United States。Psychiatr Serv,59,1038-1045。
6.
Irmiter, C.、McCarthy, J. F.、Barry, K. L.、Soliman, S.、Blow, F. C.(2007)。Reinstitutionalization following psychiatric discharge among VA patients with serious mental illness: a national longitudinal study。Psychiatr Q,78,279-286。
7.
Lin, C. H.、Chen, W. L.、Lin, C. M.、Lee, M. D.、Ko, M. C.、Li, C. Y.(2010)。Predictors of psychiatric readmissions in the short- and long-term: a population-based study in Taiwan。Clinics. Sao Paulo,65,481-489。
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。
9.
Dekker, J.、Peen, J.、Goris, A.、Heijnen, H.、Kwakman, H.(1997)。Social deprivation and psychiatric admission rates in Amsterdam。Soc Psychiatry Psychiatr Epidemiol,32,485-492。
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。
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。
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。
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。
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。
15.
Latalova, K.、Prasko, J.、Kamaradova, D.、Sedlackova, J.、Ociskova, M.(2013)。Comorbidity bipolar disorder and personality disorders。Neuro Endocrinol Lett,34,1-8。
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
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。
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。
延伸查詢
圖書
1.
American Psychiatric Association(2000)。Diagnostic and Statistical manual of mental disorders。Washington, DC:Book Promotion & Service LTD。
推文
當script無法執行時可按︰
推文
推薦
當script無法執行時可按︰
推薦
引用網址
當script無法執行時可按︰
引用網址
引用嵌入語法
當script無法執行時可按︰
引用嵌入語法
轉寄
當script無法執行時可按︰
轉寄
top
:::
相關期刊
相關論文
相關專書
相關著作
熱門點閱
1.
精神障礙者的健康服務使用
2.
思覺失調症病人的居家照護效益分析
3.
精神病社區關懷照顧計畫:東部地區關懷訪視員的經驗與觀點
4.
從旋轉門效應來看精神疾患者的社區照顧服務
5.
Factors Affecting the Readmission Rate after Psychiatric Home Treatment
1.
台灣都會地區精神障礙者健康服務的使用型態與影響因素
無相關書籍
無相關著作
1.
臺藝大校園雕塑藝術作品介紹之一:臺灣近代雕塑教育的孕育者--丘雲(1912~2009)
2.
「日本雕刻的近代」系列翻譯(1)--明治的雕刻
3.
邁向近代雕塑的路程--黃土水於日本早期學習歷程與創作發展
4.
心印--1980年代朱銘在美國紐約的奮鬥歷程
5.
陳澄波藝術中的摩登迷戀
6.
試析後90年代透過戲劇展演臺灣歷史的一種美學趨勢轉向--以三位女性劇場創作者的劇作及演出為例
7.
以A/r/tography藝術方法學省思劇場活動在社區文化發展的作用
8.
運用教育戲劇策略在原住民族孩童的傳統婚禮文化學習之探究
9.
社會戲劇遊戲之後設溝通研究
10.
國中表演藝術專家教師班級經營之研究
11.
戲劇教育促進親子溝通之多個案研究
12.
實驗室劇場的《衛城》和生活劇場的《天堂此時》中的亞陶概念和觀眾/演員關係
13.
波瓦的戲劇政治化--從「被壓迫者劇場」到「立法劇場」
14.
批判性展演式教育學:從身體出發,剖析解放教育中的政治
15.
臺灣東北角水湳洞邊陲礦業漁港地景之歷史地理初探
QR Code