Załuska M
IV Kliniki Psychiatrycznej IPiN w Warszawie.
Psychiatr Pol. 1997 Sep-Oct;31(5):573-84.
The description of the studied group was given in the first part of the paper. Some of the factors having been present at the first hospitalization were found to be important for the patients' functioning 15 years later. On the basis of the collected regarding data 85 patients, significant coincidence has been found between more intensive use of extramural services, more frequent and longer hospitalizations, and worse social functioning during 15 years' period in individual cases. The conclusion has been assumed that there exists obvious need for more intensive community care for such patients. On the basis of 0.15% morbidity index the number of schizophrenics needing social support, sheltered accommodation and sheltered working conditions were estimated. According to the Mental Health Care Act of 1994 such services have to be organized within social care system.
本文第一部分对研究组进行了描述。首次住院时存在的一些因素被发现对患者15年后的功能状况很重要。根据收集的85例患者的数据，发现在个别病例中，在15年期间更多地使用院外服务、更频繁和更长时间的住院治疗与更差的社会功能之间存在显著的相关性。得出的结论是，显然需要为这类患者提供更强化的社区护理。根据0.15%的发病率指数，估算了需要社会支持、庇护性住所和庇护性工作条件的精神分裂症患者数量。根据1994年的《精神卫生保健法》，此类服务必须在社会护理系统内进行组织。
