权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Epidemiological study on effects of family function of schizophrenic patients to their social outcome on offshore island

离岛精神分裂症患者家庭功能对其社会结局影响的流行病学研究

基本信息

批准号：
04670703
负责人：
OHTA Yasuyuki
金额：
$ 1.41万
依托单位：
Nagasaki University
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (C)
财政年份：
1992
资助国家：
日本
起止时间：
1992 至 1994
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-04670703/
关键词：
Schizopphrenia Ecology Social adjustment family function

项目摘要

We clinically evaluated continuous treatment of 100 patients diagnosed as having schizophrenia according to DSM-III-R for four years from April 1988 to April 1992. During the four-year investigation period, 53 of the patients (Group A) received treatment by visiting as outpatients, while the remaining 47 patients (Group B) required hospitalization. In Group B compared to Group A,the level of education was significantly higher, but the employment rate was lower and the rate of receiving social welfare benefits was higher. These differences were stronger for male patients. Psychiatric symptoms and social adjustment were poorer in the patients of Group B than those of Group A.Prior to April 1988,80% of the 100 patients had had the experience of hospitalization, but in the investigation period the rate of hospitalization decreased to 47%. Examining reasons for hospitalization in Group B,positive attitudes towards for the use of psychiatric institutions, such as hospitalization, together with family members' strong hopes for successful treatment and patients' own desire for short-term hospitalization, were seen. We also discuss the clinical advantages of on-visit rehabilitation by a group of a psychiatrist, a occupational therapist and a community nurse on offshore islands where the public transportation system is not very adequate.

从1988年4月至1992年4月，我们对100例根据DSM-III-R诊断为精神分裂症的患者进行了持续治疗的临床评估。在4年的调查期间，53例患者（A组）接受门诊就诊治疗，其余47例患者（B组）需要住院治疗。B组的受教育程度明显高于A组，但就业率较低，领取社会福利的比例较高。这些差异在男性患者中更为明显。B组患者的精神症状和社会适应较a组差，1988年4月前，100例患者中有80%有过住院经历，但在调查期间住院率下降到47%。在检查B组住院的原因时，可以看到对使用精神病院的积极态度，例如住院，以及家庭成员对治疗成功的强烈希望和患者自己对短期住院的愿望。我们还讨论了由一组精神病学家、一名职业治疗师和一名社区护士在公共交通系统不太充足的近海岛屿上进行上门康复的临床优势。