慢性精神分裂病のリハビリテ-ション--プレホステルの位置づけと治療効果について

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For more than 10 yrs., as of Sept. 30, 1979, we have treated 501 chronic schizophrenic patients at Karasuyama Mental Hospital, affiliated with Showa University. We chose 25 patients (6 men and 19 women) who were unable to leave our hospital after the rehabilitation program until now. And we induced them into prehostel ward admission, temporarily. This facility neighbors our hospital, and, there, we apply successful approaches to rehabilitation and training in daily social life behaviors. Consequently, we got the following results : 1) There were 14 patients who had been at work over 1 yr. We called them the successful group. While we called all patient unsuccessful who, as of investigation, could not leave the prehostel or returned to the hospital ward. 2) Because the prehostel is a point of contact with medical treatment and after-care, including social service, the prehostel must give complex and sensitive attention to patient treatment. So, in the treatment of patients in the prehostel group, who were inpatients, we focused our efforts on selfsupport and avoided a hospital-like atmosphere as much as possible. 3) When we examined the base of our scale to assess socialization, we could confirm improvement fully on the ability to successfully live in the prehostel. And we could also confirm a little improvement in even the unsuccessful group. 4) We determined that the prehostel period was an average of 7.7 mon through successful example. 5) We think that a few chronic schizophrenics in hospital are clients of community-care services in the process of switching over from the prehostel to the hostel and then a community apartment house.
学校法人昭和大学・昭和医学会の論文

慢性精神分裂病のリハビリテ-ション--プレホステルの位置づけと治療効果について

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