[Comparative evaluation of the effectiveness of schizophrenic patients first hospitalization].
The effectiveness of rehabilitation of all the schizophrenic patients hospitalized for the first time to the Tomsk Psychiatric Hospital in 1948 to 1951 (the period of shock therapy), 1959 to 1961 (the period of one-way psychopharmacotherapy) and in 1969 to 1971 (the period of realization of comprehensive rehabilitation programs) was evaluated. High-quality remissions (A and B) comprised 36.7% in the first, 47.9% of the second, and 75.5% in the third period. The percentage of cases where the therapy was ineffective was almost five times less in the third period, as compared with the first one. The characteristics of the patients' working capacity improved from the first to the third period, this improvement being statistically significant. The clinical characteristics of the rehabilitation efficacy in patients with "nuclear" schizophrenia hospitalized for the first time did not practically change in all the three periods. The level of the social and working adaptation of the patients with the "nuclear" schizophrenia estimated in accordance with the quantitative scale was significantly higher in the third period owing to the realization of the comprehensive rehabilitation programs.
D002746:Chlorpromazine / Q000627:therapeutic use; D004565:Electroconvulsive Therapy; D006760:Hospitalization; D006801:Humans; D012050:Rehabilitation, Vocational; D012424:Rural Population; D012559:Schizophrenia / Q000534:rehabilitation*; D012800:Siberia; D012917:Social Adjustment; D014505:Urban Population
D002746:Chlorpromazine
Sravnitel'naia otsenka éffektivnosti pervichnoĭ gospitalizatsii bol'nykh shizofrenieĭ.