Integrovaná denní péče v psychiatrii jako alternativa klasické hospitalizace
Integrated day care in psychiatry as an alternative to hospitalization
dissertation thesis (DEFENDED)
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http://hdl.handle.net/20.500.11956/12749Identifiers
Study Information System: 84155
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- Kvalifikační práce [4532]
Author
Advisor
Referee
Bašný, Zdeněk
Pěč, Ondřej
Faculty / Institute
First Faculty of Medicine
Discipline
Medical Psychology and Psychopathology
Department
Department of Psychiatry First Faculty of Medicine and General University Hospital in Prague
Date of defense
6. 9. 2007
Publisher
Univerzita Karlova, 1. lékařská fakultaLanguage
Czech
Grade
Pass
Studie podpořila předpoklad, že integrovaná denní péče může být stejně účinná jako klasická hospitalizace z hlediska psychopatologie a subjektivní spokojenosti se životem pro celou pětinu akutních psychiatrických pacientů. Nebyla prokázána větší spokojenost s léčbou pacientů v integrované denní péči. Denní psychiatrická péče byla vhodná pro pětinu ze všech psychiatrických pacientů přicházejících k léčbě na PK. Z důvodu nedostatku alternativ ke klasické hospitalizaci v ČR se jeví integrovaná denní péče jako jedna z vhodných možností
The goal of the study is: To compare psychopathology and the quality of life of patients in an integrated day treatment setting with a standard inpatient setting. To replicate for integrated day treatment setting, the finding that day care patients are more satisfied with treatment. To estimate the feasibility of day care treatment for general psychiatric patients We have used psychopathology, satisfaction with treatment and subjective quality of life as outcome criteria. Psychopathology was evaluated by the questionnaire BPRS (Brief Psychiatric Rating Scale), satisfaction with treatment by the questionnaire CAT (Clients Scale for Assessment of Treatment) and quality of life by the instrument MANSA (Manchester Short Assessment of Quality of Life). For calculating feasibility estimation we have used modified Kluiter's formula according to Cochraine review on effectiveness of psychiatric day hospitals. 49 85 patients were randomized to integrated day care treatment, and 100 patients randomized as inpatients. Treatment results of both settings were comparable in psychopathology and subjective quality of life at each time point. Unlike day patients, the psychopathological score of inpatients was improving even after 3 months of discharge. We didn't replicate findings on superiority of satisfaction with...