Gmür M, Tschopp A
Sozialpsychiatrischer Dienst, Psychiatrischen Universitätsklinik, Zürich.
Nervenarzt. 1988 Dec;59(12):727-30.
A hundred schizophrenic patients, who were treated in hospital since 1978, referred for out-patient (OP) treatment and consecutively included in a five-year follow-up investigation, were examined regarding their consistency of OP treatment. 16% were not rehospitalised during these five years, whereas 84% were, half of them within thirteen months of hospital discharge. 92% of all the patients, discontinued or ended their OP treatment after an average of 16.2 months. Five years after the beginning of the investigation, 41% were in touch with the OP clinic. The choice of depot neuroleptics instead of short-working ones had no influence on the occurrence of further hospital admissions but shows a correlation with consistency of treatment.
1978年起在医院接受治疗、被转至门诊治疗并连续纳入一项为期五年随访调查的100名精神分裂症患者,就其门诊治疗的持续性接受了检查。在这五年中,16%的患者未再次住院,而84%的患者再次住院,其中一半是在出院后13个月内。所有患者中有92%在平均16.2个月后停止或结束了门诊治疗。调查开始五年后,41%的患者仍与门诊诊所保持联系。选择长效抗精神病药物而非短效药物对再次住院的发生率没有影响,但与治疗的持续性存在相关性。