Avtor/Urednik		Švab, Vesna; Groleger, Urban
Naslov		Psychiatric rehabilitation in the hospital setting - one year follow-up of patients with schizophrenia
Prevedeni naslov		Psihosocialna rehabilitacija v bolnišnici - enoletno spremljanje bolnikov s shizofrenijo
Tip		članek
Vir		Zdrav Vars
Vol. in št.		Letnik 46, št. 1
Leto izdaje		2007
Obseg		str. 9-17
Jezik		eng
Abstrakt		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, and a 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 patients.
Izvleček		Izhodišča: 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 kakovostživljenja. Program rehabilitacije je bil oblikovan glede na lastnosti in 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 svojega življenja. Vendar pa večine njihovih socialnih potreb ni bilo mogoče zadovoljiti. Zaključki: Individualni prilagojeni programi bolnišnične psihosocialne rehabilitacije bolnikov z najbolj trdovratno obliko shizofrenije in vključevanje njihovih svojcev v obravnavo pomembno prispevajo k boljšemu izidu zdravljenja teh bolnikov
Deskriptorji		SCHIZOPHRENIA HOSPITALIZATION PATIENT SATISFACTION