Voronkov G L, Lisovenko V L
Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(9):1354-7.
The article is concerned with the contemporary principles of organizing inpatient psychiatric care. The authors analyze the negative aspects of the territorial principle in structuring the work of mental hospitals and in the specialization of the inpatient capacity. On the basis of the experience gained and the results of the study, they suggest the specialization of psychiatric hospitals according to the functional principle, i. e. depending on the functions carried out and age-related and nosological characteristics of inpatients. Thus, in organizing or reorganizing psychiatric hospitals, it is recommended setting up specialized departments intended to implement specific tasks: diagnostic, expert, therapeutic, rehabilitation, etc. The advantages of such specialization of the inpatient capacity of hospital departments are substantiated. The advisability of the organization of hospital departments in psychiatric care without sex segregation is emphasized because it is an important factor in the rehabilitation of patients.
本文关注的是当代住院精神科护理的组织原则。作者分析了地域原则在精神病院工作结构和住院治疗能力专业化方面的消极影响。基于所获得的经验和研究结果,他们建议根据功能原则对精神病院进行专业化,即根据所执行的功能以及住院患者的年龄和病种特征。因此,在组织或重组精神病院时,建议设立专门科室以执行特定任务:诊断、专家评估、治疗、康复等。文中证实了医院科室住院治疗能力专业化的优势。强调了在精神科护理中组织医院科室时不进行性别隔离的可取性,因为这是患者康复的一个重要因素。