Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-22T16:33:27.888Z Has data issue: false hasContentIssue false

Comparison of Standard Locked-Ward Treatment Versus Open-Ward Rehabilitation Treatment for Chronic Schizophrenic Patients

A One-Year Controlled Trial in Canton

Published online by Cambridge University Press:  06 August 2018

Zhanhuai Fan*
Affiliation:
Guangzhou City Civil Affairs Psychiatric Hospital
Jingkang Huang
Affiliation:
Guangzhou City Civil Affairs Psychiatric Hospital
Qihui Wu
Affiliation:
Guangzhou City Civil Affairs Psychiatric Hospital
Shaxi Jiang
Affiliation:
Guangzhou City Civil Affairs Psychiatric Hospital
*
Guangzhou City Civil Affairs Psychiatric Hospital, Nan Hai County, Li Shui Town, Guangdong 528244, PRC

Abstract

A priority for psychiatric rehabilitation workers in China is to develop less-restrictive methods for managing the estimated 2500 chronically institutionalised patients who are symptomatically stable and have adequate psychosocial functioning but have no family members who are able or willing to take them home. We transferred 45 chronic schizophrenic male in-patients to an open-door rehabilitation ward where they were given as much freedom as possible and encouraged to take part in occupational, social, and recreational activities. The Nurses Observation Scale for Inpatient Evaluation (NOSIE) was used to compare the psychosocial functioning of the 43 patients who completed the year-long trial with that of 43 similar patients who received standard in-patient treatment on a locked ward. Over the year, the experimental group showed a significant improvement in overall functioning, whereas the control group showed no improvement. These findings suggest that open-door rehabilitation wards situated within the hospital can mobilise latent psychosocial functioning and may be a good method for re-introducing chronic schizophrenic patients in China back into the community.

Type
II. Rehabilitation Interventions in In-Patient Settings
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bleuler, M. Translated (1978) as The Schizophrenic Disorder: Long-Term Patient and Family Study by S. M. Clemens. New Haven: Yale University Press.Google Scholar
Co-ordinating Epidemiological Group for Twelve Regions (1986) Analysis of survey results of all types of psychiatric illnesses, drug and alcohol dependence, and personality disorders (in Chinese). Chinese Journal of Neurology and Psychiatry, 19, 7072.Google Scholar
Phillips, M. R. (1993) Strategies used by Chinese families coping with schizophrenia. In Chinese Families in the Post-Mao Era (eds Davis D. & Harrell S.), pp. 277306. Berkeley and Los Angeles: University of California Press.Google Scholar
Shanghai No. 1 Medical School (1984) Clinical Psychiatry (in Chinese), Vol. 2, pp. 341342. Changsha: Hunan Science and Technology Printing Press.Google Scholar
Task Force on DSM–IV (1991) DSM–IV Options Book: Work in Progress. Washington, DC: American Psychiatric Association.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to Their Classification in Accordance with the Ninth Revision of the International Classification of Diseases. Geneva: WHO.Google Scholar
Zar, J. H. (1984) Biostatistical Analysis (2nd edn), pp. 323325. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Zhang, M. Y. (1990) NOSIE (in Chinese). Shanghai Archives of Psychiatry, 2 (new series), 7172.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.