Treatment profiles in a Danish psychiatric university hospital department.

Autor: Okkels N; a Department of Affective Disorders , Aarhus University Hospital Risskov , Risskov , Denmark.; b Psychiatric Research Academy , Aarhus University Hospital Risskov , Risskov , Denmark.; c Clinic for OCD and Anxiety , Aarhus University Hospital Risskov , Risskov , Denmark., Mogensen RB; d Department of Organic Psychiatric Disorders and Emergency Ward , Aarhus University Hospital Risskov , Risskov , Denmark., Crean LC; b Psychiatric Research Academy , Aarhus University Hospital Risskov , Risskov , Denmark.; e Department of Mathematics , Aarhus University , Aarhus , Denmark., Vestergaard CH; d Department of Organic Psychiatric Disorders and Emergency Ward , Aarhus University Hospital Risskov , Risskov , Denmark., Skadhede S; d Department of Organic Psychiatric Disorders and Emergency Ward , Aarhus University Hospital Risskov , Risskov , Denmark., Rasmussen C; d Department of Organic Psychiatric Disorders and Emergency Ward , Aarhus University Hospital Risskov , Risskov , Denmark., Shanmuganathan JWD; d Department of Organic Psychiatric Disorders and Emergency Ward , Aarhus University Hospital Risskov , Risskov , Denmark., Hansen KB; d Department of Organic Psychiatric Disorders and Emergency Ward , Aarhus University Hospital Risskov , Risskov , Denmark., Munk-Jørgensen P; f Department of Psychiatry , Odense University Hospital , Odense , Denmark.
Jazyk: angličtina
Zdroj: Nordic journal of psychiatry [Nord J Psychiatry] 2017 May; Vol. 71 (4), pp. 289-295. Date of Electronic Publication: 2017 Jan 23.
DOI: 10.1080/08039488.2017.1279212
Abstrakt: Background: Despite concerns about rising treatment of psychiatric patients with psychotropic medications and declining treatment with psychotherapy, actual treatment profiles of psychiatric patients are largely unknown.
Aims: To describe patterns in the treatment of patients in a large psychiatric university hospital department.
Methods: A descriptive mapping of treatment of in- and outpatients in a psychiatric department at Aarhus University Hospital Risskov, Denmark. Information was collected by healthcare staff using a 25-item survey form. The p-value was calculated with a chi-squared test and p < 0.05 was considered significant. The study was preceded by a pilot study on 41 patients.
Results: Over a 1 month period, a total of 343 consecutive patients were assessed and hereof 200 were included in the age range 18-90 years (mean 53.76); 86 men and 114 women. One-hundred and eighty-eight patients (94%) used psychotropic medication, 37 (19%) as monotherapy, and 148 (74%) in combination with non-pharmacological therapy. Ninety-seven (49%) had psychotherapy and 104 (52%) social support. Among inpatients, 21 (64%) had physical therapy, and 10 (30%) electroconvulsive therapy. In total, 163 (82%) had non-pharmacological therapy. Fifty-two (26%) patients had monotherapy, and 148 (74%) polytherapy. Mean number of treatment modalities used per patient was 2.07 for all patients and 3.23 for inpatients.
Conclusions: In this department, polytherapy including non-pharmacological modalities is applied widely across all settings and patient categories. However, psychotropic medication clearly dominates as the most frequently applied treatment.
Databáze: MEDLINE
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