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[综合医院中的精神病学——处于危机与慢性状态之间]

[Psychiatry in the general hospital--between crisis and chronicity].

作者信息

Bauer M

机构信息

Psychiatrische Klinik am Stadtkrankenhaus, Offenbach/Main.

出版信息

Psychiatr Prax. 1987 Aug;14 Suppl 1:47-51.

PMID:3685218
Abstract

Important parts of the work of a psychiatric department of a district general hospital with regional care duty (115,000 people) are shown by an empirical study. For a period of 4 weeks all emergency and crisis situations in which patients appeared on the ward directly were registered. All telephone calls made for the same purpose were registered, too. The kind of the crisis and the kind of help were put into categories. The result of this study was, that in an urban area with approx. 100,000 people one can expect approx. 200 persons (2% of the population) to be in need of a frequent in many cases ward supported crisis intervention. The second part of the study shows with a patients case report, what possibilities do exist in the field of rehabilitation of chronic psychiatric patients within the community and what inherent difficulties there are.

摘要

一项实证研究展示了一家承担区域护理职责(服务11.5万人)的区级综合医院精神科工作的重要部分。在为期4周的时间里,对患者直接出现在病房的所有紧急和危机情况进行了登记。同样出于此目的的所有电话也进行了登记。将危机类型和帮助类型进行了分类。这项研究的结果是,在一个约有10万人的城市地区,预计约有200人(占人口的2%)在许多情况下需要频繁的病房支持危机干预。该研究的第二部分通过一份患者病例报告展示了社区内慢性精神病患者康复领域存在哪些可能性以及存在哪些内在困难。

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