Rittmannsberger H, Schöny W
Psychiatr Prax. 1986 Sep;13(5):185-90.
The results of a catamnestic study concerning patients of a psychiatric rehabilitation unit are reported. The patients were either longterm inpatients (mean duration of stay 8.5 years) or those, who had been transferred from the acute unit for lack of therapeutic progress and thus were probable to become longterm patients. Half the patients of the first and two third of the patients of the second group could be dismissed, living alone, with their families or in home accommodations. In a very few cases occupational rehabilitation could be achieved. Predictors of good outcome were higher age of the patient at first admission to a psychiatric hospital, longer duration of occupational practise, preserved contact to the family and pecuniary security warranted by a disablement pension. Further improvements of in- and outpatient psychiatric care are discussed.
报告了一项关于精神康复病房患者的随访研究结果。这些患者要么是长期住院患者(平均住院时间8.5年),要么是因治疗进展不佳而从急性病病房转来的患者,因此很可能成为长期患者。第一组患者中有一半以及第二组患者中有三分之二能够出院,独自生活、与家人同住或住在家庭住所。在极少数情况下,职业康复得以实现。良好预后的预测因素包括首次入住精神病院时患者年龄较大、职业经历时间较长、与家人保持联系以及有残疾抚恤金保障的经济安全。文中还讨论了门诊和住院精神科护理的进一步改善。