32 KB122 KB27 KB200220262007Groleger, UrbanŠvab, Vesnaštevilka:1letnik:469 stranistr. 9-17ISSN:0351-0026COBISSID:1753573URN:URN:NBN:SI:doc-V0P0596EenInštitut za varovanje zdravja Republike SlovenijeZdravstveno varstvobolnišnično zdravljenjepsihiatrično zdravljenjerehabilitacijashizofrenijavocational rehabilitationPsychiatric rehabilitation in the hospital setting - one year follow-up of patients with schizophrenia| Psihosocialna rehabilitacija v bolnišnici - enoletno spremljanje bolnikov s shizofrenijo|Background: In recent years, the majority of long-term hospitalized patients with schizophrenia, who had no relapse during standard psychiatric management,were discharged from the Ljubljana Psychiatric Hospital because of increased number of admissions and limited hospitalization length. To ensure safest possible discharge, a hospital rehabilitation and planned discharge programme has been set up for patients requiring long-term care and frequent rehospitalizations Methods: Forty-one (41) long-term and frequently admitted patients with schizophrenia were included in the study. One-year follow up involved monitoring of their needs, clinical status, global functioning and quality of life. A rehabilitation programme was designed and tailored to the characteristics and needs of the patients studied. In addition to standard psychiatric treatment, detailed information on the disease was given to the patients and their families. They were included in social skills training, anda management plan was prepared for each of them. Results: Within one year,negative symptoms of the disease were reduced significantly and the patients became more satisfied with the quality of their life. Most of their social needs, however, could not be addressed . Conclusions: Individually adjusted programmes of hospital psychiatric rehabilitation for patients suffering from most resistant forms of schizophrenia, and inclusion of their family or relatives in their rehabilitation significantly improved disease outcomes in these patientsIzhodišča: V zadnjem času so zaradi povečanega števila sprejemov in omejene dobe hospitalizacije s Psihiatrične klinike Ljubljana odpustili večino dolgotrajno hospitaliziranih bolnikov s shizofrenijo, ki so bili med standardnim psihiatričnim zdravljenjem brez remisij. Za te bolnike in za vse tiste, ki so večkrat ponovno hospitalizirani, so uvedli program bolnišnične psihosocialne rehabilitacije in načrtovanega odpusta, da bi jim tako zagotovili čimbolj varen povratek domov. Metode: V študijo je bilo zajetih 41 dolgotrajno in večkrat hospitaliziranih bolnikov s shizofrenijo. Eno leto so spremljali njihove potrebe, klinično stanje, vsakodnevno funkcioniranje in kakovost življenja. Program rehabilitacije je bil oblikovan glede na lastnostiin potrebe bolnikov. Standardna psihiatrična obravnava je bila dopolnjena še s podrobnimi pojasnili o bolezni za bolnike in njihove družine; potekalo je učenje socialnih veščin, za vsakega posameznika pa so pripravili tudi tudi načrt obravnave. Rezultati: Negativni simptomi bolezni so se v enem letu bisteno zmanjšali in bolniki so bili bolj zadovoljni s kakovostjo svojegaživljenja. Vendar pa večine njihovih socialnih potreb ni bilo mogoče zadovoljiti. Zaključki: Individualni prilagojeni programi bolnišnične psihosocialne rehabilitacije bolnikov z najbolj trdovratno obliko shizofrenijein vključevanje njihovih svojcev v obravnavo pomembno prispevajo k boljšemu izidu zdravljenja teh bolnikovTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaInštitut za varovanje zdravja RS