Drozdek B
University Department of Psychiatry, University Hospital Centre, Zagreb.
Acta Med Croatica. 1995;49(2):81-6.
The author examined 129 cases who were at the time of the investigation 65 years of age and older and who, during their life-time, had been diagnosed as having a schizophrenic disorder. Using a modified P-86 questionnaire and SCAG scale, heteroanamnestic data, and data available from medical histories, the demographic, social, and clinical characteristics of this population were gathered. Differences were defined in terms of the examinees' place of permanent residence (at home, in hospital, in a retirement home). Among other things, the author shows that the type of the permanent residence corresponds to the severeness of the psychiatric disorder, that 1/3 of the sample is completely socially isolated, and that life in the retirement home has a very beneficial influence on the mental health of elderly patients. On the other hand, the question is raised whether the quality of the psychiatric care in the retirement homes is good enough.
作者对129例在调查时年龄在65岁及以上且在其一生中被诊断患有精神分裂症的患者进行了检查。使用经过修改的P - 86问卷和SCAG量表、他人回忆数据以及病历中的可用数据,收集了该人群的人口统计学、社会和临床特征。根据受检者的永久居住地(在家、住院、在养老院)确定了差异。作者还表明,永久居住地的类型与精神疾病的严重程度相对应,样本中有三分之一完全处于社会隔离状态,并且在养老院生活对老年患者的心理健康有非常有益的影响。另一方面,有人提出养老院的精神科护理质量是否足够好的问题。