Fähndrich E, Diner I
Psychiatr Prax. 1987 Mar;14(2):52-9.
119 so-called "long-term" hospitalised patients (more than 4 months stay in the hospital) have been described by the records of illness and the AMDP documentation system. They were also examined 1 year after discharge. 92.5% of the "long-term" patients have been classified as "improved" or "well improved" when leaving the hospital. 1 year later 51.6% of those patients showed the same psychopathological state, 14.3% showed a better state and 28.6% had decreased. 5 patients had committed suicide. The family situation had improved only for 10% of the patients and 8.1% showed a decrease. The professional level of 20.9% decreased. Only 8.2% where able to improve themselves. The "typical long-term patient" suffers from a schizoaffective or affective psychosis. He is either between 18 and 29 or older then 60 years. He is unmarried, and has never or only few times been in hospital before. He leaves the hospital after long stay as "improved" or "well improved". One year later this success by a long-term indoor-treatment proved still to be stabile with 2/3 of the patients. The results are compared with those in literature and the problem of "long-term" hospitalisation is discussed.
通过病历和AMDP文档系统记录了119名所谓的“长期”住院患者（住院时间超过4个月）。他们在出院1年后也接受了检查。92.5%的“长期”患者出院时被归类为“改善”或“明显改善”。1年后，这些患者中有51.6%表现出相同的精神病理状态，14.3%状态更好，28.6%状态下降。5名患者自杀。只有10%的患者家庭状况有所改善，8.1%的患者家庭状况下降。20.9%的患者职业水平下降。只有8.2%的患者能够自我改善。“典型的长期患者”患有分裂情感性或情感性精神病。他年龄在18至29岁之间或60岁以上。他未婚，以前从未或仅几次住院。长期住院后以“改善”或“明显改善”出院。一年后，长期住院治疗的这种成功在2/3的患者中仍然稳定。将结果与文献中的结果进行了比较，并讨论了“长期”住院的问题。
