莱罗斯岛精神病院:现状描述。

Q3 Medicine
Psychiatrike = Psychiatriki Pub Date : 2024-03-28 Epub Date: 2023-07-14 DOI:10.22365/jpsych.2023.017
Konstantinos Anargyros, Theodoros Mavrogiannidis, Eftychia Oikonomou, Eleana Karapournos, Sofia Dimou, Georgios I Moussas
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引用次数: 0

摘要

本研究旨在描述目前居住在莱罗斯精神病院的住院病人的人口和临床特征。本系统文件和介绍旨在展示国家 "Psychargos "计划实施后的生活水平和医疗条件;该计划是希腊主要的精神病学改革计划,坚持非机构化和社区精神病学原则,符合当前的国际准则。此外,我们还讨论了目前医院精神科与其他科室和诊所在为慢性精神病住院患者提供医疗服务方面的关系,这种关系完全符合生物-心理-社会模式,并适用于莱罗斯岛的独特情况。实施的患者档案包括主观和客观因素,如遵守规则和治疗、自伤和伤害他人等。此外,我们还根据人员报告的活动对每位患者所需的护理水平进行了量化和分类。该参数通过希腊语版的卡茨日常生活自理能力指数(Katz's Index of Independence in Activities of Daily Living)进行评估。同时,我们还从与国家社会服务机构的联系、与病人家属的沟通以及家属与医院在病人医疗需求方面的合作等方面,对医院的社会护理和支持服务机构为住院病人提供的基本服务进行了描述和分类。此外,我们还分析并展示了在患者特征中发现的所有具有统计学意义的相关性。简而言之,我们研究的主要结果显示,212 名患者的平均年龄为 62.4 岁(标准差为±13.6 岁,最长住院时间为连续 62 年),其中包括该机构庇护期的患者。自 1989 年本院开始进行精神病学改革以来,共收治了 87 名新病人,其中 85.1%来自爱琴海南部,因此遵循了天真原则。在所有住院病人中,智障和精神谱系障碍是最常见的疾病,各占 40%。在 1989 年后住院的 87 名患者中,绝大多数(58 人,66.7%)被诊断为精神谱系障碍,其次是器质性精神障碍(10 人,11.5%)。其余患者被诊断患有其他疾病。躯体合并症和对护理和服务的需求,尤其是对智障患者的需求,表明了该机构目前主要提供老年精神科保健服务的情况。总之,本研究的目的是突出莱罗斯精神病院的现状,与科学界和公众长期以来对精神病院的刻板印象形成鲜明对比。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychiatric Hospital of Leros: a portrayal of the current situation.

The purpose of this study was to describe the demographic and clinical features of the inpatients currently residing at the Psychiatric Hospital of Leros. The present systematic documentation and presentation aimed to demonstrate the standard of living and healthcare conditions provided today, after the implementation of the State's "Psychargos" program; this is the main Greek Psychiatric reform program, adhering to the principles of deinstitutionalization and community psychiatry, in accordance with the current international guidelines. In addition, we discussed the current relationship between the psychiatric departments of the hospital and the other departments and clinics in terms of providing healthcare services to chronic psychiatric inpatients in full compliance with the biopsychosocial model and its application to the unique case of Leros. The implemented patient profiles incorporated both subjective and objective factors, such as compliance with rules and treatment, self-injury, and harm to others. Furthermore, we quantified and categorized the level of care required for each patient in terms of personnel-reported activities. This parameter was assessed through the Greek version of Katz's Index of Independence in Activities of Daily Living. Simultaneously, the fundamental actions provided to inpatients by the social care and support services of the hospital were also depicted and categorized, in terms of connection to State social services, communication with the patient's families, and cooperation between the families and the hospital for the patient's healthcare needs. Furthermore, we analyzed and presented all statistically significant correlations found in our patients' characteristics. Briefly, the main results of our study show that the mean age of the 212 patients was 62.4 years old (with a standard deviation of ±13.6 years and the longest hospitalization of 62 consecutive years) including patients from the institution's asylum period. Since 1989, the year when the psychiatric reform began in our hospital, 87 new patients were admitted, 85.1% of whom were from the southern Aegean, thus following the principle of naiveness. Intellectual disabilities and psychotic spectrum disorders were the most common disorders among the total number of hospitalized patients, accounting for 40% in each category. Regarding the 87 patients hospitalized after 1989, psychotic spectrum disorders were diagnosed in the vast majority (58 patients, 66.7%) followed by organic mental disorders (10 patients, 11.5%). The rest were diagnosed with other disorders. Somatic comorbidity and the need for care and services, especially for patients with intellectual disabilities, demonstrate how the Institution now mainly offers psychogeriatric healthcare services. In conclusion, the purpose of this study was to highlight the Psychiatric Hospital of Leros as it stands today, in stark contrast to the long-established, stereotypical depiction of asylums in the scientific and public communities.

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Psychiatrike = Psychiatriki
Psychiatrike = Psychiatriki Medicine-Medicine (all)
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