Characteristic and evaluation of the treatment of schiziophrenics in Osijek

U radu se prezentira populacija oboljelih od shizofrenije na području općine Osijek i evaluira uspjeh liječenja bolesnika koji su za vrijeme prve hospitalizacije, u vremenu od 1976. do 1980. godine, bili mlađi od 20 godina. U tom periodu liječeno je s ovog područja 338 bolesnika oboljelih od shizofrenije, i to bolničkim tipom liječenja. Koristili su 508 hospitalizacija. Ispod 20 godina starosti bilo ih je 22 (6,5%), i oni su u prosjeku imali 3 hospitalizacije. Rezultati uvida u uspjeh liječenja 22 bolesnika (10 muških i 12 ženskih), 4—9 godina nakon prve hospitalizacije bili su slijedeći: dijagnoza je potvr­đena u svih bolesnika. U procesu terapije korišteni su psihofarmaci kod svih bolesnika. Provedena je psihoterapija i socioterapija, a u 2 bolesnika je primijenjena i elektrokonvulzivna terapija. U fazi aktualne psihotičnosti, nađena su 4 bolesnika i bila im je potrebna hitna hospitalizacija. Ovi bolesnici su bili bez terapije. Pod depo psihofarmacima našli smo 9 bolesnika. U 9 bolesnika je obitelj dezorganizirana, a 5 bolesnika je na skrbi Centra za socijalni rad. Jedan bolesnik je umirovljen, dva su upućena na invalidsku komisiju s prijedlogom za umirovljenje, jedan radi skraćeno radno vrijeme, a ostalih 6 su često na bolovanju. Autori nisu zadovoljni uspjehom liječenja i traže bolju povezanost primarne zdravstvene zaštite i psihijatrijske službe u liječenju shizofrenih bolesnika.This work presents the population of psyhiatric patients treated as schizophrenia in Osijek district. It evaluates as well the success in the treatment of patients younger than 20 during their first hospitalization in the period from 1976 to 1980. In the period from 1976 to 1980, 338 patients from this region were treated for schizophrenia. There were 508 hospitalizations; 6.5% of patients were younger than 20 years. The average number of hospitalization for those younger than 20 was 3.The evaluating success in the treatment of 22 schizophrenics, 4 to 9 years after the first hospitalization; — the diagnosis has been attested — the therapy consisted of psychopharmaca, psychotherapy, sociotherapy, and electrostimulative therapy in two cases — at the time of the inquiry into the psychic state of all patients, four of them were in the state of acute psychosis and needed urgent hospitalization. Four other patients had no therapy and nine were under depot-psychopharmaca. It was also found that 9 patients had disorganized families, and 5 patients were taken care of by the Center for Social Work. One patient retired, two were to be retired on a disability pension, one got a part-time job (four hours a day), and the others were very often on a sick leave. The authors are not satisfied wth the treatment of schizophrenics and are looking forward to better coordination between the family, primary health care and psychiatric service