摘要
目的比较精神心理科开放病房与封闭病房住院患者疾病构成及临床特点的不同之处,评价开放病房与封闭病房对患者治疗和转归的意义。方法本研究采用病历资料回顾性研究,收集2016-01～2016-10在西安交通大学第一附属医院精神心理科(开放病房)及咸阳市中心医院精神心理科(封闭病房)住院的精神疾病患者,其中开放病房1 131人,封闭病房540人。对住院患者的人口学资料、临床特点,以及住院患者疾病构成等资料进行归类描述和统计学分析。结果与封闭病房相比,开放病房住院患者更年轻(P <0. 01),学历更高(P <0. 01),住院时间更短(P <0. 01)。虽然开放病房患者自愿住院比例更高(P <0. 01),但伴有更多自杀观念及行为(P <0. 01)。开放病房患者在物质滥用、焦虑障碍、伴有生理紊乱及躯体因素的行为综合征这3种疾病诊断中明显多于封闭病房;封闭病房患者在器质性精神障碍、双相情感障碍这两种疾病诊断中明显多于开放病房。结论开放病房与封闭病房在精神卫生服务中分别扮演不同角色,但开放式病房具有一定的优越性,管理更加符合大多数患者的选择。
Objective To compare the difference of disease composition and clinical characteristics of hospitalized patients in the open and locked psychiatric wards, and evaluate the significance of open and locked psychiatric wards for the treatment and prognosis of diseases. Methods A total of 1 131 patients in open wards were selected from the Psychiatric Department of the First Affiliated Hos- pital of Xi＇ an Jiaotong University and 540 patients in locked wards were selected from the Psychiatric Department of Xianyang Center Hospital from January2016 to Oetorber 2016. The demographic data, clinical characteristics and disease composition of patients were analyzed retrospectively. Results The patients were younger in the open wards than in the locked wards （ P 〈 0. 01 ）, the education was higher, and the hospitalization time was shorter（ P 〈 0. 01 ）. The proportion of voluntary hospitalization was higher in open wards than in locked wards（ P 〈 0. 01 ） , but the proportion of patients with suicidal thoughts and behaviors was also significantly higher in open wards than in locked wards（ P 〈 0. 01 ）. There were more patients diagnosed with substance abuse, anxiety disorder, the behavior of the syndrome associated with physiological disorders and body factors in the open wards than in the locked wards. Patients were found to have higher proportion of organic mental disorder and bipolar disorder in the locked wards. Conclusion Both open wards and locked wards play different roles in mental health services, however the former has certain advantages, and the management is more in line with the choice of most patients.
作者
文炳龙
安邦
李相利
马现仓
高成阁
王崴
WEN Binglong;AN Bang;LI Xiangli;MA Xiancang;GAO Chengge;WANG Wei(Department of Psychiatry,First Affiliated Hospital of Xi＇an Jiaotong University,Xi＇an 710061,China;Department of Psychiatry,Xianyang Center Hospital)
出处
《山西医科大学学报》
CAS
2018年第11期1378-1382,共5页
Journal of Shanxi Medical University
基金
国家自然科学基金资助项目(81771471)
关键词
开放病房
封闭病房
精神疾病
临床特征
open wards
locked wards
mental disease
clinical features
