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題名:影響長期住院精神分裂症患者家屬探視與外宿頻率之因素
書刊名:臺灣精神醫學
作者:羅家駒褚得利張永龍施至莊曄媺張雯懿尚和華程儒仙
作者(外文):Lo, Jia-jiuChu, DerliChang, Yung-lungShih, ChihChuang, Yeh-meiChang, Wen-yiShang, Hu-huaCheng, Ru-shian
出版日期:2000
卷期:14:2
頁次:頁39-44
主題關鍵詞:精神分裂症長期住院家屬探訪SchizophreniaChronic hospitalizationFamilyVisits
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:37
  • 點閱點閱:79
     目的:探討長期住院精神分裂病人之臨床資料與家屬面會及病人外宿頻率間的關係。 方法:以1998年12月31日在一地區精神科專科醫院已連續住院至少1年之精神分裂病人為研究對象,收集其基本資料、發病時間、住院時間、主要照顧者、1998年家屬探訪次數及以簡短精神症狀量表所獲得之病人精神狀態,做為分析及進行相關因素之探討。統計方法主要以卡方檢驗、two tailed t-test及Pearson積差相關係數等進行。 結果:在367位住院病人中,符合研究條件之個案有248位。男女病人之間的平均面會及外宿次數沒有顯著差異,照顧者是父母的比照顧者是兄弟姊妹的病人平均外宿次數較多,病人年齡、發病時間、住院時間、簡短精神症狀量表分數與平均外宿次數有負相關,而病人住院時間與平均面會次數有負相關。 結論:家屬探訪長期住院精神分裂病人的頻率與病人主要照顧者、年齡、發病時間、住院時間及簡短精神症狀量表分數有關。也就是說如果精神分裂病人主要照顧者是兄弟姊妹、年齡愈長、發病時間愈長、住院時間愈長及精神狀態不穩定均有可能降低家屬與病人之互動頻率。
     Objective: To determine the factors which affect the frequency of hospital visits and temporary home stay in chronically hospitalized schizophrenic patients. Methods: Schizophrenic patients who by the end of 1998 had been continuously hospitalized for at least one year at a local mental hospital were recruited for participation in the study. The determination of factors related to frequency of hospital visits and home stay were based on the patients' general data, the duration of illness, length of stay, type of caregivers, the mental state diagnosed by BPRS scores and the frequency of hospital visits and temporary home stay during 1998. The main statistical methods used were chi-square test, two tailed t-test and Pearson product-moment correlation. Results: A total of 248 out of 367 chronically hospitalized schizophrenic patients treated during the study period met the inclusion criteria. The average frequency of hospital visits and of temporary home stay was not significantly different between male and female patients. Patients whose caregivers were parents had more frequent home stay than those whose caregivers were siblings. A negative correlation was found between patients' age and the duration of illness, the length of stay, the BPRS scores and the frequency of home stay. A negative correlation was also found between the length of stay and frequency of hospital visits. Conclusion: The frequency of hospital visits and home stay in chronically hospitalized schizophrenic patients was significantly associated with patients' age, type of caregivers, duration of illness, length of stay and BPRS scores. The results of the study indicate that the frequency of contact between the family and patients may decrease caregivers of schizophrenic patients are their siblings, if the age of the patient is older, if the duration of illness and hospitalization is longer, or if the patients' mental state is unstable.
期刊論文
1.Hwu, H. G.、Yeh, E. K.、Chang, L. Y.(1989)。Prevalence of psychiatric disorders in Taiwan defined by the Chinese Diagnostic Interview Schedule。Acta Psychiatrica Scandinavica,79(2),136-147。  new window
2.宋麗玉(19981200)。精神病患社區照顧之省思--社區化或機構化,選擇或困局?。中華心理衛生學刊,11(4),73-103。new window  延伸查詢new window
3.胡海國、林憲、陳建仁、張素凰、黃梅羹、葉玲玲(19950300)。臺灣地區精神科住院病患的個人、家庭與臨床研究。中華精神醫學,9(1),16-31。  延伸查詢new window
4.李文瑄、葉英堃(1981)。慢性精神病患。臺北市立療養院年報,61-70。  延伸查詢new window
5.Szmukler, G. I.、Bloch, S.(1997)。Family involvement in the care of people with psychoses。The British Journal of Psychiatry,171,401-405。  new window
6.Winefield, H. R.、Harvey, E. J.(1994)。Need of family caregivers in chronic schizophrenia。Schizophrenia Bulletin,20,557-566。  new window
7.Brown, S.、Birtwistle, J.(1998)。People with schizophrenia and their families。The British Journal of Psychiatry,173,139-144。  new window
8.黃梅羹(1987)。精神科住院病患及其家屬的心理暨社會問題探索研究。中華民國醫務社會服務協會年刊,56-75。  延伸查詢new window
會議論文
1.胡海國、林憲、葉玲玲(1992)。臺灣地區逾期住院患者之臨床分析:所蘊含之社區精神醫療意義。沒有紀錄。  延伸查詢new window
2.林清良、陳明招、張和平(1987)。病程與家屬態度對慢性精神病患出院之影響。沒有紀錄。  延伸查詢new window
研究報告
1.宋麗玉(1997)。精神疾病照護者負荷的程度與相關因素之探討。行政院國家科學委員會。new window  延伸查詢new window
圖書
1.行政院衛生署(1998)。臺灣地區精神醫療資源分佈情形一覽表。臺灣地區精神醫療資源分佈情形一覽表。沒有紀錄。  延伸查詢new window
2.Sadock, B. J.、Kaplan, H. I.(1998)。Synopsis of Psychiatry: Behavioral Sciences/ Clinical Psychiatry。Synopsis of Psychiatry: Behavioral Sciences/ Clinical Psychiatry。Baltimore, MD。  new window
3.Kaplan, H. I.、Sadock, B. J.(1995)。Comprehensive textbook of psychiatry。Comprehensive textbook of psychiatry。Baltimore, MD。  new window
4.Bloch, S.、Hafner, J.、Harari, E.、Szmukler, G. I.(1994)。Family aspects of schizophrenia。The Family in Clinical Psychiatry。New York, NY。  new window
5.胡海國(1986)。精神症狀量表檢查法。精神醫學診斷手冊。臺北市。  延伸查詢new window
 
 
 
 
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