Deinstitutionalization and schizophrenia in Finland II: Discharged patients and their psychosocial functioning
Deinstitutionalization and schizophrenia in Finland II: Discharged patients and their psychosocial functioning
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DOI：
10.1093/oxfordjournals.schbul.a033400
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发表时间：
1999-01-01
影响因子：
6.6
通讯作者：
Salokangas, RKR
中科院分区：
文献类型：
--
作者：
Honkonen, T;Saarinen, S;Salokangas, RKR
三个代表性队列的精神分裂症患者从精神病医院在1982年，1986年和1990年，在芬兰进行了为期3年的随访。最后一个队列的患者年龄更大，更不安，并且比20世纪80年代初出院的患者患病时间更长，尽管如此，1990年去机构化患者的死亡率并没有增加，与前十年去机构化患者相比，他们的心理社会功能在3年随访期间似乎变得更好。1990年出院的患者比20世纪80年代出院的患者更经常独自生活，在整个研究期间，无家可归的情况很少见。总体而言，患者对随访时的生活状况比出院时更满意。此外，大多数患者对治疗情况感到满意。总之，精神病护理系统似乎能够满足精神分裂症患者的护理需求相当不错，在芬兰的快速去机构化过程中，然而，更多的关注，应该支付给孤独和社会退出的出院患者以及其他残疾人在他们的社会功能。
Three representative cohorts of schizophrenia patients deinstitutionalized from psychiatric hospitals in 1982, 1986, and 1990 were followed up for 3 years in Finland. Patients of the last cohort were older, more disturbed, and had been ill for a longer time than those discharged at the beginning of the 1980s, Despite this, the mortality of patients deinstitutionalized in 1990 did not increase, and their psychosocial functioning seemed to become even better during the 3-year follow-up period compared with those deinstitutionalized during the previous decade. Patients who had been discharged in 1990 were more often living alone than those discharged in the 1980s, Homelessness was rare throughout the study period. In general, patients were more satisfied with their life situation at follow-up compared with that on discharge. Furthermore, most patients were satisfied with their treatment situation. Altogether, the psychiatric care system seemed to be able to meet schizophrenia patients' need for care fairly well during the rapid deinstitutionalization process in Finland, More attention, however, should be paid to the loneliness and social withdrawal of discharged patients as well as to other disabilities in their social functioning.