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[参与社区康复项目的人群特征]

[The characteristic of population participating in a community-based rehabilitation program].

作者信息

Bronowski Paweł, Sawicka Maryla, Kluczyńska Sylwia

机构信息

Instytut Psychologii Stosowanej, Akademia Pedagogiki Specjalnej im. M. Grzegorzewskiej w Warszawie.

出版信息

Psychiatr Pol. 2009 Jul-Aug;43(4):421-34.

Abstract

AIM

The difficulties in social functioning of the mentally ill are widely documented in specialist literature. The social affects addressed to the mentally disabled are an attempt to overcome this particular disability. The aim of the presented research is the characterization of the social group participating in a community-based rehabilitation program realized on Warsaw area.

METHOD

103 long-term patients with mental disorders provided with a community-based rehabilitation program were the participants in the study. They were not hospitalized at the time when the research was conducted. The following instruments were used: the Questionnaire and Map of Social Support by Bizoń, the individual interview, and the questionnaire especially prepared for the needs of this research.

RESULTS

The studied group consists of people with a long-standing period of illness, with numerous hospitalizations, constantly remaining under psychiatric care. The tested persons are singles and demanding a strong social support. Their individual social networks of support are sparse and in a large part compensated by therapists from the support institution. The tested group highly values the influence of the local rehabilitation program on their functioning.

CONCLUSIONS

The chronically mental ill persons show numerous difficulties in their social functioning. Participation in the social support programs protects them against successive hospitalizations. During the last year, preceding the research, the amount of hospitalizations was significantly lower than in the period preceding the taking care by the local systems. It is necessary to treat the local rehabilitation programs as an effective mechanism supporting the functioning of the chronically mental ill people.

摘要

目的

精神疾病患者在社会功能方面存在的困难在专业文献中有广泛记载。针对精神残疾者的社会影响是克服这一特殊残疾的一种尝试。本研究的目的是对参与华沙地区实施的社区康复项目的社会群体进行特征描述。

方法

103名接受社区康复项目的长期精神障碍患者参与了该研究。在研究进行时他们未住院。使用了以下工具:比宗的社会支持问卷和地图、个人访谈以及专门为本研究需求编制的问卷。

结果

研究组由患病时间长、多次住院且一直接受精神科护理的人组成。被测试者为单身,需要强大的社会支持。他们个人的社会支持网络稀疏,很大程度上由支持机构的治疗师进行补充。被测试组高度重视当地康复项目对其功能的影响。

结论

慢性精神病患者在社会功能方面存在诸多困难。参与社会支持项目可防止他们再次住院。在研究前的最后一年,住院次数明显低于当地系统提供护理之前的时期。有必要将当地康复项目视为支持慢性精神病患者功能的有效机制。

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