精神科护理技能精神05分裂症.pptx

1、What Is Schizophrenia?“The physician who knows syphilis,knows medicine.”Sir William Osler the psychiatrist who knows schizophrenia knows psychiatry schizophrenia is the fifth leading cause of disability and premature mortality among all medical disorders in market economies.Emil Kraepelin,a German p

2、sychiatrist,provided the first characterization of schizophrenia,in the late nineteenth century.He believed that the disorder was caused by irreversible physical damage to the brain.Eugen Bleuler,a contemporary of Emil Kraepelin,believed that schizophrenia was caused by psychological trauma sustaine

3、d early in life.The heritability of schizophrenia Is approximately 80%environmental factors account for the remaining 20%of liability.A 28-year-old man who lives in agroup home says that his roommates are spying on him by listening to him through the television set.For this reason,he haschanged room

4、mates a number of times over the last 5 years.He dresses strangely,shows poor grooming,and seemspreoccupied by“peopleGiving him instructions in his head.Female patient chained to a post in an 18th century mental asylum.Methods of constraint such as this were often used because patients were seen as

5、dangerous and it made the job easier for the few wardens assigned to watch them.急性期急性期恢复恢复前驱期前驱期治疗目标是：治疗目标是：全病程治疗使患者回归社会全病程治疗使患者回归社会(精神分裂症全病程图精神分裂症全病程图)The sedative effects of Sedationantia-adrenergic Side-effectspostural hypotension,cardiac arrhythmias,impotence.Anticholinergic side-effectsa dry mouth,Difficulty urinating or retention,constipation,blurred vision,ejaculatory failure.Profound muscarinicblockade may produce a toxic confusional state.