Górna K, Rybakowski J
Katedry Pielegniarstwa Wydziału Pielegniarstwa i Nauk o Zdrowiu, AM im. Karola Marcinkowskiego, Poznaniu.
Psychiatr Pol. 1995 Sep-Oct;29(5):619-29.
The subject of this study was evaluation of social functioning of schizophrenic patients after a period of ten to twenty years of follow-up. 70 patients (29 men and 41 women) selected from the initial group of 303 patients (181 men and 122 women), with the diagnosis of schizophrenia were studied. They had been admitted for the first time to the Hospital for Mental and Nervous Diseases in Gniezno in the years 1975-76. Examinations were carried in household environment (interviews with patients and their relatives), based on of a standardized questionnaire. In the examination, six realms of social activity were considered: professional occupation, home occupation, self independence, participation in family life, care for a child, social relations and interests. The level of social functioning in the examined group of 70 schizophrenic patients several years after the first psychiatric hospitalization has been found satisfactory in 57% patients. Women were functioning better, especially in the scope of participation in family life and fulfilment of home duties. Better level of social functioning was related to lower family history of mental illness, lower degree of invalidization, activity attitude towards the illness and positive self evaluation of the state of health, advantageous family situation, better fulfilment of social needs and lower family burden caused by the patient.
本研究的主题是对精神分裂症患者进行10至20年随访后的社会功能评估。从最初的303名患者（181名男性和122名女性）中选取了70名被诊断为精神分裂症的患者进行研究。他们于1975 - 1976年首次入住格涅兹诺精神神经疾病医院。基于一份标准化问卷，在家庭环境中进行检查（与患者及其亲属访谈）。检查中考虑了社会活动的六个领域：职业、家务、自我独立、参与家庭生活、照顾孩子、社会关系和兴趣。在70名精神分裂症患者首次精神科住院几年后的检查中，发现57%的患者社会功能水平令人满意。女性功能更好，尤其是在参与家庭生活和履行家务职责方面。更好的社会功能水平与较低的精神疾病家族史、较低的残疾程度、对疾病的积极态度以及对健康状况的积极自我评价、有利的家庭状况、更好地满足社会需求以及患者造成的较低家庭负担有关。
