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[台中县精神科患者连续体社区照护]

[Psychiatric patient continuum community care in Taichung Country].

作者信息

Hsiung Der-Yun, Lin Kuan-Pin, Lin Wan-Jhen, Chang Su-Lien, Chu Nian-Feng

机构信息

Department of Nursing, Hung Kuang University, ROC.

出版信息

Hu Li Za Zhi. 2010 Jun;57(3):69-78.

Abstract

Deinstitutionalization and the implementation of community psychiatry rehabilitation models define the future of psychiatric medical care in Taiwan. As such, managing and caring for psychiatric patients at the community level are increasingly important public health issues for county and city governments. A local public health authority in Taichung County established a collaborative relationship with a university-level nursing department during 2007 - 2008 in order to provide more effective continuous community care for psychiatric patients. This cooperative arrangement provided continuous community care for psychiatric patients in the County by implementing aftercare for psychiatric patients that was delivered through community-level public health centers, which conducted patient visits, developed discharge notifications for severe psychiatric patients in mental health institutions, and strengthened connections among related resources. To establish continuous community care for psychiatric patients, it is necessary to enhance training and support for health recipients as well as nursing staff in public health centers through measures that include: implementing discharge preparations and notifications in mental health institutions, improving the quality of community-based psychiatric patient visits, and connecting and integrating relevant resources effectively.

摘要

去机构化和社区精神病康复模式的实施决定了台湾精神医疗的未来。因此,在社区层面管理和照顾精神病患者,对县市政府来说是日益重要的公共卫生问题。台中县的一个地方公共卫生当局在2007年至2008年期间与一所大学级护理系建立了合作关系,以便为精神病患者提供更有效的持续社区护理。这种合作安排通过社区层面的公共卫生中心为该县的精神病患者提供持续社区护理,这些中心进行患者家访、为精神卫生机构中的重症精神病患者制定出院通知,并加强相关资源之间的联系。为建立对精神病患者的持续社区护理,有必要通过以下措施加强对接受护理者以及公共卫生中心护理人员的培训和支持:在精神卫生机构实施出院准备和通知、提高社区精神病患者家访的质量,以及有效连接和整合相关资源。

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