Jensen P, Wang A G, Aggernaes K H
Psykiatrisk afdeling, Amager Hospital.
Ugeskr Laeger. 2000 Feb 28;162(9):1214-8.
Along with the implementation of community psychiatry, an increasing number of younger psychiatric patients live in social institutions, with psychiatric treatment offered on a consultation basis. On the basis of hospital records and interviews with staff members, the study describes two groups of patients in a former psychiatric nursing hospital, group 1 offered time-limited stay with the aim of social rehabilitation, and group 2 offered permanent stay. Patients of group 1 were younger and more frequently treated with atypical antipsychotics. Apart from this, no differences were found. The vast majority of both groups suffered from schizophrenia. The intensity of symptoms was high, despite extensive medication. The two groups might represent the same category of the most severely disabled patients, seen at different ages. More intensive psychiatric consultant service is found necessary, and the process of rehabilitation should be evaluated prospectively.
随着社区精神病学的实施,越来越多的年轻精神病患者居住在社会机构中,并在咨询基础上接受精神病治疗。基于医院记录和对工作人员的访谈,该研究描述了一家前精神病疗养院中的两组患者,第一组提供有限期住院,目的是进行社会康复,第二组提供长期住院。第一组患者更年轻,且更频繁地使用非典型抗精神病药物治疗。除此之外,未发现差异。两组中的绝大多数患者都患有精神分裂症。尽管进行了广泛的药物治疗,但症状强度仍然很高。这两组可能代表了在不同年龄出现的同一类最严重残疾患者。发现有必要提供更密集的精神科咨询服务,并且应该对康复过程进行前瞻性评估。