第3卷第1期
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1987 / 4
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pp. 57 - 67
使慢性精神分裂病人免於機構化照顧的可能因素
THE POSSIBLE FACTORS EXEMPTING CHRONIC SCHIZOPHRENICS FROM INSTITUTIONALIZED CARE
作者
文榮光 Jung-Kwang Wen *
(高雄醫學院精神科 Department of Psychiatry, Kaohsiung Medical College)
文榮光 Jung-Kwang Wen *
高雄醫學院精神科 Department of Psychiatry, Kaohsiung Medical College
中文摘要

本研究採用配對選樣法,在過去三年中,蒐集了三組慢性精神分裂病樣本:兩組遭受長期養護機構化照顧(LHT組,N=112和JAH組,N=117);另一組則留在社區,接受精神科門診或短期住院治療(KMC組,N=106),加以比較分析,以便尋找影響機構化與否之可能因素。配對所根據之條件爲:精神醫學診斷、性別與年齡。結果發現:(1)社會經濟因素;(2)精神病理因素;(3)認知因素;(4)政府因素等許多變項在兩種樣本之間具有顯著差異。本文作者分别就上述四方面因素加以討論,並指出使慢性精神分裂病人免於機構化之可能因素是多方面的,且可能是相互依賴、交互作用的。對此課題,本文可能已提供若干答案,但仍有許多相關變項值得進一步研究。

英文摘要

The purpose of this research is to differentiate the possible factors leading or relevant to the way either to instutionalization or de-institutionalization. Three samples of chronic schizophrenic patients were matched and selected in the past three years, two of which had received long-term institutionalized care (LHT, N=112, and JAH, N=117); and the third had stayed in the community and received mainly ambulatory psychiatric care (KMC, N=106). The matching was made according to the following independent variables: DSM-III diagnosis of chronic schizophrenic disorders, age, and sex. In summary, four groups of variables concerning whether instutionalization or not are elicited, which include: (1) socioeconomic factors; (2) psychopathological factors; (3) cognitive factors; and (4) governmental factors. These variables may be interdependent and interactional, and worthy of further research.