الفهرس 
Rationale, Aim of the Work , Hypothesisيوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
I n ps y c hi a t r i c pr a c t i c e , s o me me nt a l l y i l l pa t i e nt s
s pe nd t he i r l i f e i n c ont i nu o us or pr ol ong e d hos pi t a l
i z a t i on, t h a t i s , a s l ong s t a y pa t i e nt .
D ur i ng t he l a s t de c a de s , de i ns t i t ut i ona l i z a t i o n ha s l e d t o
i mpr e s si ve c ha nge s i n t he us e of ps yc hi a t r i c s e r vi c e s a l l
ove r t he w e st e r n w or l d, l e ngt h of s t a y i n ps yc hi a t r i c hos pi t a l
s ha s de c r e a s e d dr a ma t i c a l l y , men t al h eal t h ad v o cat es , p o l i cy
mak ers , a n d res earch ers ha ve c ont i n ue d t o f ocus on t he ne ga t i ve c
onse que nc e s of l ong - t e r m hosp i t a l i z a t i on of ps y c hi a t r i c
pa t i e nt s , pr ol on ge d i n - pa t i e nt a d mi ss i ons i mpa c t ne ga t i ve l y
on qua l i t y of l i f e , a nd de pl e t e he a l t h c a r e r e s our c e s . S t
udi e s of pa t i e nt s r e t ur ni n g t o t he c o mmun i t y c o mpa r e d w
i t h t h ose r e ma i ni ng i n i nst i t ut i o ns show not
onl y be t t e r qua l i t y of l i f e a nd l a r ge r f r i e ndshi p ne t w or ks , but a l s o
r e duc t i o ns i n de pe n de nc e on pha r ma c ot he r a py a nd l ow e r mor t a l i t y
r a t e s .
I n s o me s t udi es co mp ari n g be t w e e n t w o gr oups of pa t i e nt s, one gr o
up w a s a d mi t t e d f or a l ong t i me i n a me nt a l hos pi t a l w hi l e t he ot
he r gr o up w a s di s c ha r ge d t o c o mmuni t y ho me s , t he s t udy f ound t ha t t ho s e
w ho w e r e
di s c ha r ge d s how e d si gn i f i c a nt l y f e w e r be ha vi or a l pr obl e
ms a nd ha d a c qui r e d s i g ni f i c ant l y mor e s ki l l s t h a n t hose w ho r e ma i
ne d.
B ut s t i l l , opi ni on r e ma i ns di vi de d on t h e co s t e f f e c t i ve ne
s s of da y hos pi t a l t r e a t me nt . C r i t i c s hi ghl i ght t he hi gh r a t e s o
f pa t i e nt s l os t t o f ol l ow - up i n da y hos pi t a l s t u di e s , a nd
que s t i o n whe t he r da y hos pi t a l t r e a t me nt mi ght a c t ua l l y ’i
ns t i t ut i ona l i z e ’ pa t i e nt s by
e nc our a gi n g t he m t o a t t e nd f o r ove r l ong pe r i ods of t i me .
Y e t , A n i nt e r e s t i ng c ompa r i s on be t w e e n t h r e e c ont r a s t
i ng me nt a l he a l t hc a r e s ys t e ms i n H ol l a nd, I t a l y a nd A ust r a l i a
c onc l ude d, not s ur pr i s i ngl y, t ha t hospi t a l s t ays are s h o rt es t w h
ere co m mu n i t y care i s mo re de ve l oped, a l t h o ugh l o ng - t e r m
hos pi t a l i z a t i on w i l l a l w a ys be r e qui r e d f or a s ma l l numbe r of
pa t i e nt s w ho a r e se ve r e l y i l l . The ge ne r a l c onc l us i on w a s t ha t shor t
e r s t a ys w or k be s t i f a nd onl y i f t he r e i s hi gh - qua l i t y c o mmuni t
y c a r e t ha t c o me s i nt o pl a y i m me di a t e l y on di s c h arg e .
S t udy popul a t i on C onsi s t of 2 gr oup s :
G r oup A : t a ke n f r o m pa t i e nt s hos pi t a l i z e d f or mor e t ha n
1 year , t hi s gr oup w a s f ur t he r subdi vi de d i nt o S c hi z ophr e
ni a a n d S c hi z oa f f e c t i ve i npa t i e nt g r ou p, a nd B i pol a r A f f e c t i
ve i npa t i e n t gr oup .
G r oup B : gr oup o f out pa t i ent s r e c e i vi ng t he i r t r e a t me nt a t t he out pa t
i e n t c l i ni c a f t e r be i ng a d mi t t e d f or l e s s t ha n
6 mont hs , t hi s gr oup w a s f ur t he r subdi vi ded i nt o S ch i zo p h ren i a
an d S ch i zo affect i v e o ut pa t i e n t gr oup, a nd B i pol a r A ffect i v e out pa t i e
nt gr ou p .
S a mp l e s i ze:
G r oup A : w a s f or me d of 94 pa t i e nt s, a s t he s a mpl e w a s s upp os e d t o be
for me d of a t l e a s t 79 pa t i e n t s usi ng R obe r t M a son e qu a t i on.
G r oup B : ( c ont r ol gr oup) : Wa s f or m e d of 94 pa t i e nt s
D e mogr a phi c de s c r i pt i ve st a t i s t i c s of t he s a mpl e s how s hi ghl y
s t a t i s t i c a l l y s i gni f i c a n t di f f e r e nc e be t w e e n t he 2 gr oups f or t
h e ma r i t a l st a t us ,
D e mogr a phi c de s c r i pt i ve st a t i s t i c s of t he s a m pl e s how s al s
o hi gh l y st a t i s t i c a l l y s i gni f i c a nt di f f e r e nc e be t w e e n t he
2 gr o ups r e ga r di ng t he i r l e ve l of e duc a t i on, i t s how e d a s i gn i f i c
a nt c or r e l a t i on be t w e e n l e ngt h of
s t a y a nd l e ve l of e duc a t i on, pat i e nt s w i t h h i gh e r e duc a t i
onal l e ve l s ha ve mor e unde r st a ndi ng of t he l a w s a nd be t t e r l i f e ma na
ge me nt , de m ogr a phi c de s c r i pt i ve s t a t i st i c s of t he s a mpl e s how s
a l s o hi ghl y s t a t i s t i ca l s i gni f i c anc e f or t he s oc i a l c l a s s,
r e ve a l i ng r e l a t i on be t w e e n l e ngt hy s t a y a nd l ow e r soc i a l c l
a ss e s.
N o st a t i s t i c a l si gni f i can t d i fferen ce reg ard i n g t h e a ge be t w e
e n t he 2 gr oups , how e ve r s t udy s how s pos i t i ve c or r e l a t i on be t w e e n a
ge a nd l e ng t h of st a y i n t h e i npa t i e n t gr oup, a s w i t h l onge r
pe r i ods of s t a y pa t i e nt s ge t ol de r , s t ud y show e d s t a t i
st i c a l l y s i gni f i c a nt d i fferen ce a mong t he S c hi z ophr e n i c c a s e s
be t w e e n 2 gr oups i n t he ge ne r a l P AN S S s c or e .
A l s o, t he c ur r e nt s t udy show s s t a t i s t i c a l s i gni f i c ant di f f e r e
nc e r e ga r di ng t he posi t i ve s ympt o ms a mong t he S c hi z ophr e ni c c a s e s
, out pa t i e nt s had s i gni f i c a n t hi gh e r s c or e s on pos i t i v e s y mpt o
ms c o m pa r e d t o i npa t i en t s , Th e s t ud y show e d hi ghl y st a t
i s t i c a l s i g ni f i c ant di f f e r e nc e a mong t he S c hi z ophr e ni c c a s e s
be t w e e n t h e 2 gr oups r e ga r d i ng t he ne ga t i ve s c or e of P AN S
S i npa t i e n t s ha d a si gni f i c ant hi g he r sc or e s on ne ga t i ve s y mp t oms
c omp a r e d t o out pa t i ent s .
Summary
T he G e ne r a l P A NS S s c or e s how e d no st a t i s t i c a l s i gni f i c ant
c or r e l a t i on i n t he S c hi z ophr e ni c c a s e s w i t h l e ngt h of hos pi t a l
s t a y a mong t he i npa t i e nt gr oup, a s f or t he N e ga t i ve P A N S S s c or e
sh ow e d no s t a t i s t i c a l s i gni f i c anc e w i t h l e ngt h of hosp i t a
l s t a y t oo.
T he P os i t i ve P A N S S sc or e showe d hi ghl y s t a t i s t i ca l s i gni f i c anc e a
mong t he S c hi z ophr e ni c c a s e s w i t h l e ng t h of hospi t al st a y .
P a t i e nt ’s a ge show e d hi gh l y s t a t i s t i c a l si gni f i c ant c or r e l
a t i on w i t h l e ngt h of hos pi t a l s t a y.
T h e F ah my & El S he r bi ni soc i a l s c a l e s c or e s howe d no s t a t i st i c
a l s i g ni f i c a nt c or r e l a t i on w i t h l e ngt h of hos pi t a l s t a y.
T he c ur r e nt s t udy show e d no st a t i s t i c a l si g ni f i c ant c or r e l a t i
on w i t h l e ngt h of hos pi t a l s t a y a mong t he i npa t i e n t gr oup a n d
t he ma r i t a l s t a t us , a l so i t s how e d no s t a t i st i c a l s i gn i f i ca nt c
or r e l a t i on w i t h l e ngt h of hos pi t a l s t a y a mong t he i npa t i e nt gr o up a nd
t he e duc a t i o na l l eve l a mong t he i npa t i e nt gr oup
T he L i ne a r r e gr e ss i on mode l use d t o unde r st a nd t he c a us e of i nc r e
a se d l e ngt h of hospi t a l s t a y show e d t he
Summary
a ge & t he posi t i v e P AN S S s c or e ha d si gni f i c a n t e f f e c t on t he l e
ngt h of h ospi t al st a y