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[罗伯特·吉法尔精神病医院中心的人群特征:智力缺陷者和精神障碍者]

[Characteristics of the populations at the Robert Giffard Psychiatric Hospital Center: people with intellectual deficiencies and people with mental disorders].

作者信息

Pilon W, Arsenault R

机构信息

Centre de recherche Université Laval Robert-Giffard.

出版信息

Sante Ment Que. 1997 Autumn;22(2):115-36.

PMID:9534580
Abstract

Within the context of the general reorganization of health care and social services in Québec, the present study aims at describing physical and mental characteristics of persons with mental health problems and who are mentally retarded still hospitalized in a psychiatric hospital. In the first study, 146 mentally retarded persons of which 74 formed the community group and 72 the institutionalized group. The results indicate that 84% of the mentally retarded persons still hospitalized manifested sufficiently important needs on the three measured variables (health, deficits and behaviors) to justify intensive care in a structured environment. The Behavior variable is more important in deciding the integration of these people in the community. As most of these persons have a higher level of disabilities and more behavior manifestations, the support required for these people in the community and persons delivering services will have to be more structured and intensive in nature. In the second study, 928 psychiatric patients still hospitalized were studied on the variables, age, sex, diagnostics and the global scores (physical and mental) of the level of care survey and functional autonomy. The results show that the proportion of women in the age group 35 and older were progressively increasing in relation to the men. The primary diagnostic reported more frequently was schizophrenia in 70% of cases. In the evaluation of physical care of the people still hospitalized, age becomes an important factor. Generally speaking, the population within the institution is aging and women are progressively growing in number. As these people expressed more physical ailments and a decline in basic autonomy, more structured and specialized care and support will be required to respond to their needs.

摘要

在魁北克医疗保健和社会服务全面重组的背景下,本研究旨在描述仍住院于精神病院的有心理健康问题且智力发育迟缓者的身心特征。在第一项研究中,有146名智力发育迟缓者,其中74人组成社区组,72人组成机构照料组。结果表明,仍住院的智力发育迟缓者中,84%在三个测量变量(健康、缺陷和行为)上表现出足够重要的需求,足以证明在结构化环境中进行重症护理的合理性。行为变量在决定这些人融入社区方面更为重要。由于这些人中大多数残疾程度较高且行为表现较多,社区中这些人的需求以及提供服务的人员所需的支持在性质上必须更加结构化和密集。在第二项研究中,对928名仍住院的精神病患者进行了年龄、性别、诊断以及护理水平调查和功能自主性的总体评分(身体和心理)等变量的研究。结果显示,35岁及以上年龄组中女性相对于男性的比例在逐渐增加。报告频率最高的主要诊断是精神分裂症,占病例的70%。在对仍住院患者的身体护理评估中,年龄成为一个重要因素。总体而言,机构内的人群在老龄化,女性人数在逐渐增加。由于这些人表现出更多身体疾病和基本自主性下降的情况,将需要更结构化和专业化的护理与支持来满足他们的需求。

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