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[精神分裂症患者频繁住院的原因及后果]

[Causes and consequences of frequent hospitalization among schizophrenic patients].

作者信息

Talarowska-Bogusz Monika, Florkowski Antoni, Zboralski Krzysztof, Cieślak Katarzyna, Gałecki Piotr

机构信息

Uniwersytet Medyczny w Łodzi, Klinika Psychiatrii Doroslych.

出版信息

Pol Merkur Lekarski. 2008 Feb;24(140):101-5.

PMID:18634263
Abstract

UNLABELLED

Schizophrenia is one of the most frequent mental diseases. The probability of being taken ill with this psychosis among the whole population is 1%. Frequent hospitalizations of schizophrenic patients prevent them from normal and effective functioning in a society.

AIM OF THE STUDY

Conducted research had an aim to isolate and define the risk factors of rehospitalization among schizophrenic patients.

MATERIAL AND METHODS

In the research, the authors used their own questionnaire which provided the demographic, social and medical data. The research was based on archival case histories of schizophrenic people who were the patients of a mental hospital. The research was conducted among 65 people (27 women, 38 men) who were hospitalized more than 15 times in the schizophrenic treatment.

RESULTS

Psychiatric rehospitalizations in schizophrenia are conditioned not only by medical factors connected with the disease itself, but also by demographic and social factors.

CONCLUSIONS

  1. The decisive role in rehospitalization of schizophrenia patients plays a small availability of alternative psychiatric care in the patients' dwelling place as well as the lack of regularity in the continuation on treatment after leaving the mental hospital. 2. Patients' family status, relationship with family and friends and the level of acceptance and understanding of their disease decline the risk of rehospitalization. 3. The greatest risk of rehospitalization is among people from the lowest class--lonely, young men with primary or vocational secondary education, having no permanent employment.
摘要

未标注

精神分裂症是最常见的精神疾病之一。在整个人口中患这种精神病的概率为1%。精神分裂症患者频繁住院妨碍了他们在社会中的正常有效功能。

研究目的

本研究旨在分离并确定精神分裂症患者再次住院的风险因素。

材料与方法

在研究中,作者使用了他们自己的问卷,该问卷提供了人口统计学、社会和医学数据。该研究基于一家精神病院精神分裂症患者的档案病历。研究对象为65名在精神分裂症治疗中住院超过15次的患者(27名女性,38名男性)。

结果

精神分裂症的再次住院不仅受与疾病本身相关的医学因素影响,还受人口统计学和社会因素影响。

结论

  1. 患者居住地替代精神科护理的可及性低以及出院后治疗连续性缺乏规律性在精神分裂症患者再次住院中起决定性作用。2. 患者的家庭状况、与家人和朋友的关系以及对其疾病的接受和理解程度降低了再次住院的风险。3. 再次住院风险最大的是来自最低阶层的人群——孤独的、初中学历或职业高中学历的年轻男性,没有固定工作。

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