The Chronically Mentally Ill in Community Facilities

1989 ◽  
Vol 154 (1) ◽  
pp. 77-82 ◽  
Author(s):  
C. J. Simpson ◽  
C. E. Hyde ◽  
E. B. Faragher

The quality of life of chronically mentally ill patients in acute wards in a district general hospital, a hostel ward and group homes was compared. Within the spectrum of care of these patients, the severity of psychopathology corresponded to their placement. Analysis, including adjustments for the influence of psychopathology, showed differences between the three types of facility. Although differences existed between all types of care, residents in group homes and the hostel ward shared more similarities in quality of life than those in the district general hospital. Problems of caring for the chronically mentally ill on acute wards are highlighted.

2018 ◽  
Vol 68 ◽  
pp. 01009
Author(s):  
Virna Widora Saputri ◽  
Rico Januar Sitorus ◽  
H. M. Zulkarnain

The purpose of this study was to determine the factors that affect the quality of life of CRF patients in Hemodialysis Unit at Pringsewu District General Hospital. This study was conducted from February to May 2018 with cross sectional study design. The sampling technique using total sampling technique. Measurement of quality of life using KDQOL-SFTM version 1.3. The results found that quality of life scores were quite low in some domains and subscales. The mean of total score was 55.70 ± 21.30 with mean of Physical Health Composite (PHC) = 38.85 ± 9.26 and mean of Mental Health Composite (MHC) = 36.13 ± 7.08. Regarding the targeted area of ESRD, the scale of renal disease burden and occupational status scale resulted in the lowest score. The sleep quality scale score was 56.18 ± 20.72. Only 61 patients responded to questions of sexual activity with a score of 55.53 ± 27.44 on the scale of sexual function. In the 36-item health survey, the mean total score was 45.90 ± 21.95. The lowest score represented the limitations of roles caused by physical and emotional health problems. The result of statistical test showed that the variables significantly related to the quality of life of CRF patients were age, income, duration of hemodialysis and family support. Thus, family support was the variable that had the greatest impact on determining the quality of life of CRF patients. The CRF patients who lacked family support were 4.6 times more likely to lead poorer life compared to CRF patients who received good family support after being controlled by age, income, duration of hemodialysis, gender, working status, and diabetes mellitus variables.


1997 ◽  
Vol 12 (S2) ◽  
pp. 168s-168s
Author(s):  
I. Lindenbach ◽  
C.C. Angermeyer ◽  
R. Kilian ◽  
M. Uhle ◽  
U. Löbig

1992 ◽  
Vol 15 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Anthony F. Lehman ◽  
Jean G. Slaughter ◽  
C.Patrick Myers

1999 ◽  
Vol 113 (4) ◽  
pp. 349-352 ◽  
Author(s):  
A. R. Gibson ◽  
A. W. McCombe

AbstractThis study evaluated the nature and extent of problems faced by patients following discharge from hospital following laryngectomy. Semi-structured interviews investigated the practical and psychological concerns of a cohort of laryngectomy patients in a district general hospital. A number of simple practical measures can be employed to reduce early hospital re-admission following laryngectomy. Psychological morbidity is an important cause of low quality of life following laryngectomy. Formal psychological treatment could be of benefit in the management of these patients.


1993 ◽  
Vol 163 (4) ◽  
pp. 505-509 ◽  
Author(s):  
Richard Warner ◽  
Peter Huxley

Sixty-nine mentally ill patients in treatment in an intensive community support system in Boulder, Colorado, were evaluated using the same measures of quality of life and psychopathology as were used in assessing mentally ill patients in hospital and community facilities in Manchester. Psychopathology was greater in the Boulder samples, but quality-of-life scores were no worse for the American patients. The relationship of these findings to systems of care and availability of psychiatric hospital beds is discussed.


1987 ◽  
Vol 151 (3) ◽  
pp. 347-354 ◽  
Author(s):  
J. S. Gibbons ◽  
J. P. Butler

We observed 15 ‘new’ long-stay patients in wards in a District General Hospital Unit and a mental hospital, and again when they had lived for a year in a new hospital-hostel. There were significant changes in time spent in the community, social interaction, activity and abnormal behaviour. Residents believed they had more freedom and none wanted to return to wards. Six patients remained on wards. They showed no comparable changes and all wanted to live elsewhere.


1990 ◽  
Vol 14 (10) ◽  
pp. 586-589
Author(s):  
Glenn Roberts

Enoch Powell's famous ‘Water Tower’ speech, in which he described mental hospitals as, “Majestic, imperious, brooding institutions… rising unmistak ably and daunting out of the countryside”, inaugur ated the policy of successive governments to close the large mental hospitals and care for the chronically mentally ill “in the community”.


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