Salokangas R K
Department of Psychiatry, University of Turku, Finland.
Br J Psychiatry Suppl. 1994 Apr(23):115-20; discussion 121-2.
In recent years, the use of hospital care in Finland has decreased, while out-patient care has expanded; a psychotherapeutic approach and rehabilitative measures have been widely adopted. For schizophrenic patients, these changes may also have improved outcome, which is better than 30 years ago. However, their need for treatment and care has not been reduced to the extent that was hoped; in line with the decrease in use of hospital services, the need for alternative services for the socially disabled has increased. There is an urgent need to develop crisis-intervention. Male schizophrenic patients require special attention from the community care system and possibly a new kind of service which would meet their needs better. The need for care, support and education of patients' families is also increasing.
近年来，芬兰医院护理的使用有所减少，而门诊护理有所扩大；心理治疗方法和康复措施已被广泛采用。对于精神分裂症患者来说，这些变化可能也改善了治疗效果，目前的治疗效果比30年前要好。然而，他们的治疗和护理需求并未减少到预期的程度；随着医院服务使用量的减少，社会残疾人士对替代服务的需求增加了。迫切需要开展危机干预。男性精神分裂症患者需要社区护理系统给予特别关注，可能还需要一种能更好满足其需求的新型服务。患者家庭对护理、支持和教育的需求也在增加。
