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1.
Artículo en Ruso | MEDLINE | ID: mdl-602564

RESUMEN

The paper summarizes the conducted studies on the investigation of the significance of permorbid aims of mental patients (mainly schizophrenics), their valuable orientations for the process of rehabilitation. Special attention is paid to the results of the socio-psychological studies which are characterized by the interrelations in the system "doctor--nurse--patient" and the analysis of relationships in parent famalies of schizophrenic patients as well.


Asunto(s)
Trastornos Mentales/rehabilitación , Hospitalización , Humanos , Trastornos Mentales/psicología , Pronóstico , Psicología Social , Rehabilitación Vocacional
2.
Artículo en Ruso | MEDLINE | ID: mdl-3328931

RESUMEN

The authors have compared standardized case reports contained in the data bank of "Rehabilitation Automatic Information System" of two groups of schizophrenic patients who received a course of rehabilitation therapy. The first group comprised 173 patients with A and B remissions; the second, 155 patients with C, D, O remissions. A total of 343 signs characterizing the premorbid condition of the patient have been analyzed. Eighty of them have been found to differentiate the two groups on a statistically significant level. Fifty of the most prognostically informative indicators have been used for developing on the basis of image recognition algorithms of the principal rules for the individual prognosis of the type of remission.


Asunto(s)
Esquizofrenia/rehabilitación , Psicología del Esquizofrénico , Adulto , Terapia Combinada , Diagnóstico por Computador , Femenino , Humanos , Masculino , Personalidad , Pronóstico , Psicología Social , Inducción de Remisión
3.
Artículo en Ruso | MEDLINE | ID: mdl-2175102

RESUMEN

The rehabilitation automated information system was used to analyze the data of 768 formalized case reports of schizophrenia patients with a purpose of elaboration and control of the efficacy of the computing rules of individual prediction of the remission pattern. Two algorithms of image recognition were employed: a nonuniform statistical procedure and Bayes++'s method. A study was made of the relationship between the prediction accuracy and the number of traits (from 10 to 86), ranged on the basis of prognostic information content according to the Kulbak's measure. Using 86 traits with the aid of Bayes' method, 76% of correct prognoses, 20% of erroneous and 4% of indefinite ones were obtained. The computing prediction tables were designed, intended for practicing physicians, requiring no use of computers.


Asunto(s)
Algoritmos , Sistemas de Información , Psicoterapia/métodos , Esquizofrenia/terapia , Adulto , Procesamiento Automatizado de Datos/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Probabilidad , Pronóstico , Inducción de Remisión , Esquizofrenia/rehabilitación
4.
Artículo en Ruso | MEDLINE | ID: mdl-6235697

RESUMEN

A total of 256 schizophrenics were examined for the effect of different variables on the duration of their hospital stay over the entire period of the disease. An analysis was performed with the help of the rehabilitation automated information system, using formalized case reports. The duration of hospitalization was shown to depend not only on the clinical characteristics of the patient but also on his or her personality and socio-psychological characteristics both in the process of illness and in the premorbid state.


Asunto(s)
Tiempo de Internación , Readmisión del Paciente , Esquizofrenia/terapia , Adulto , Femenino , Humanos , Masculino , Personalidad , Federación de Rusia , Esquizofrenia/diagnóstico , Psicología del Esquizofrénico , Ajuste Social , Síndrome
5.
Artículo en Ruso | MEDLINE | ID: mdl-6235698

RESUMEN

The rehabilitation automated information system (RAIS) developed at the V. M. Bekhterev Institute is described. The data on the patients and the process of their treatment and rehabilitation are coded in a formalized case history (a rehabilitation form). The experience with RAIS which already has a bank of data including over 1200 rehabilitation forms is presented. The directions of research conducted with the help of RAIS are outlined.


Asunto(s)
Sistemas de Información , Trastornos Mentales/rehabilitación , Computadores , Humanos , Trastornos Mentales/psicología , Personalidad , Pronóstico , Pruebas Psicológicas , Federación de Rusia , Factores Socioeconómicos
6.
Artículo en Ruso | MEDLINE | ID: mdl-1015149

RESUMEN

The paper is related to some aspects of "nurse-patient" interrelations in conditions of rehabilitation of mental patients. The authors studied some factors influencing the evaluation (selection) of nurses by patients with the aid of special questionnaire techniques of nurses and patients in combination with the method of expert assessment. The study covered 141 mental patients and 14 nurses working in shifts. It was possible to distinguish some personality and occupational characteristics of the nurses who were most closely related to the estimation made by the patients. The authors established some relation between the assessment made by the patients with the degree of readiness for social contacts with mental patients by nurses.


Asunto(s)
Trastornos Mentales/enfermería , Relaciones Enfermero-Paciente , Humanos , Trastornos Mentales/rehabilitación
7.
Artículo en Ruso | MEDLINE | ID: mdl-3046208

RESUMEN

The authors compared formalized case records contained in the data bank "Rehabilitative Automated Information System" (RAIS) for two groups of schizophrenics who have received a course of restorative therapy. The first group consists of 173 patients with A and B remissions, the second one, of 155 patients with D and C remissions and without remissions. The authors have analyzed 487 morbid characteristics of patients and identified 209 of them, which allow the differentiation of the groups under study at a statistically significant level. Forty of the most informative signs were utilized for constructing on the basis of image-recognizing algorithms of determinants for the individual prognosis of the remission type.


Asunto(s)
Personalidad , Esquizofrenia/diagnóstico , Psicología del Esquizofrénico , Adulto , Terapia Combinada , Diagnóstico por Computador , Femenino , Humanos , Masculino , Registros Médicos , Pronóstico , Psicología Social , Psicopatología , Esquizofrenia/rehabilitación
8.
Artículo en Ruso | MEDLINE | ID: mdl-3072812

RESUMEN

Factors affecting the term of the hospital confinement of schizophrenic patients were evaluated using the Automated Rehabilitation Information System (ARIS). The formalized files on 682 patients treated in the V. M. Bekhterev Institute, Leningrad, USSR) and several hospitals in the GDR were analyzed. From the 725 signs studied 53 common factors were selected which reflected the clinical, personal and psychosocial characteristics of the patient as related to the hospital treatment duration. A computerized prognosis of the hospital treatment term using the image detection algorithms proved possible.


Asunto(s)
Tiempo de Internación , Esquizofrenia/diagnóstico , Psicología del Esquizofrénico , Adulto , Diagnóstico por Computador , Femenino , Alemania Oriental , Humanos , Masculino , Moscú , Pronóstico , Psicología Social , Recurrencia , Esquizofrenia/rehabilitación
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