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老年重症精神疾病患者的社交活动。来自瑞典一家精神病院的经验教训。

Social activities in elderly patients with severe mental illness. Lessons from a mental hospital in Sweden.

作者信息

Dencker K, Dencker S J

机构信息

Göteborg University College of Health Sciences, Department of Nursing, Sweden.

出版信息

Scand J Caring Sci. 1998;12(1):42-7.

PMID:9601445
Abstract

Mental hospitals offer their patients many different kinds of social activities/facilities. One-hundred-and-twenty-seven patients in the long-term care unit at a mental hospital were included in the study. They were divided into three subgroups on the basis of diagnosis: dementia disorder (n = 65), chronic psychotic disorder (n = 38), and chronic non-psychotic disorder (n = 24). An inventory was made of all possible activities/facilities offered to the patients by the mental hospital, with the objective of ascertaining whether participation in social activities/facilities discriminated between the three diagnostic groups. Sixteen activities/facilities were obtained from an inventory by nurses. Stepwise discriminant analysis identified length of stay in hospital, age and the social activities/facilities that separated the three diagnostic groups. The discriminant function analysis showed that participation in social activities, together with length of stay and age, discriminated very well between the demented and the chronic psychotic groups. The discriminant analysis also indicated that patients with chronic psychotic. disorder were distinguishable by their frequent participation in social activities, long stay in hospital, and low age. The results obtained can be used when the social activities/facilities in a community care setting are being planned for the various diagnostic groups.

摘要

精神病院为患者提供多种不同的社交活动/设施。一家精神病院长期护理病房的127名患者被纳入该研究。他们根据诊断结果被分为三个亚组:痴呆症(n = 65)、慢性精神障碍(n = 38)和慢性非精神障碍(n = 24)。对精神病院为患者提供的所有可能的活动/设施进行了清查,目的是确定参与社交活动/设施是否能区分这三个诊断组。护士清查得到了16项活动/设施。逐步判别分析确定了住院时间、年龄以及区分这三个诊断组的社交活动/设施。判别函数分析表明,参与社交活动,连同住院时间和年龄,在痴呆症患者组和慢性精神障碍患者组之间具有很好的区分度。判别分析还表明,慢性精神障碍患者的特点是频繁参与社交活动、住院时间长且年龄小。当为不同诊断组规划社区护理环境中的社交活动/设施时,可以使用所获得的结果。

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