How can we best prepare schizophrenic in-patients for community living in Japan?

目的：探讨精神分裂症病人出院后的病房护理特点，为精神分裂症病人出院后的社区护理提供依据。他们被要求回忆他们给予了什么样的护理，以使患者为社区生活做好准备。访谈进行了定性分析。本研究将病房护理工作归纳为十个重要领域。记录引入每项护理的时间。研究结果：各领域护理项目数如下：开始护理的时间范围也显示了最频繁的一周介绍。领域1（ ...更多信息 D1）;讨论出院后的最佳生活方式（83个项目，1 - 13周，45周），D2;改善应对问题，这对他们来说很重要（22项，1 - 13周，10周），D3;提高药物依从性（48项，1 - 10周，1 ^2 ^周），D4;改善精神症状管理（27项，1 - 12周，45周），D5;了解症状（6个项目，18周），D6;改善人际关系（23项，1 - 13周，2~4周），D7;改善家庭关系（49项，1 - 13周，45周），D8;激励他们继续门诊治疗（13项，3 - 10周，4 ^周），D9;讨论周末如何在医院外度过（45个项目，2 - 11周，3 ^周），D10;改善他们接受其他职业帮助的方式（29个项目，1 - 13周，45周）讨论：在为患者准备社区生活的背景下，给予了许多护理项目。<th><th><st-><nd><th><nd><th><th><rd><th>有些项目很早就开始了（第一周）。本研究的受试者有相当好的短期预后，这可能与这些受试者的一些护理开始得早有关。少

Objective:The purpose of this study is to analyze the domains and timing of nursing care on wards, which may help schizophrenic patients are discharged back into their communities.Subjects and Methods:1.The subjects of this study consisted of 36 nurses who were interviewed by the authors as regards the characteristics of nursing care of 38 schizophrenic patients (DSM-IV). They were asked to recall what kind of care they gave with a specific purpose of preparing patients for community living. The interview was qualitatively analyzed. Nursing care on the ward was categorized into 10 domains which were suggested to be important in our preliminary study. The timing of introduction of each item of care was recorded. We received informed consents in writing from the subjects for the participation into our research.Results:The numbers of items of care under each domain are shown below. The range of timing of the start of care is also shown with the most frequent week of introduction.Domain 1( … More D1); Discussing the best way to spend time after discharge (83 items, 1-13 weeks,4^<th> week), D2; Improving coping with the problems, which are important for them (22 items,1-13 weeks,10^<th> week), D3; Improving drug compliance (48 items,1-10 weeks,1^<st->2^<nd> week), D4; Improving management of psychiatric symptoms (27 items,1-12 weeks,4^<th> week), D5; Understanding symptoms (6 items,18 weeks), D6; Improving Interpersonal relationships (23 items,1-13 weeks,2^<nd> week), D7; Improving family relationships (49 items,1-13 weeks,4^<th> week), D8; Motivating them for the continuation of outpatient treatment (13 items,3-10 weeks,4^<th> week), D9; Discussing the way to spend time outside hospital on weekends (45 items,2-11 weeks,3^<rd> week), D10; Improving the way they receive help from other professions (29 items,1-13 weeks,4^<th> week).Discussion:Many items of care were given in the context of preparing patients for community living. Some items started very early (1st week). The subjects of this study have a fairly good short-term prognosis and this may relate to the fact that some of the nursing care started early for these subjects. Less