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- W2015218002 abstract "La schizophrénie est une pathologie handicapante qui débute chez des individus jeunes et qui s’installe de façon chronique ou récurrente. La stabilisation des patients dans les phases aiguës et l’éviction des rechutes sont des objectifs majeurs de la prise en charge au long cours de cette maladie. L’objectif de cet article est de préciser la stabilisation, d’en étudier les facteurs favorisants ainsi que les stratégies à mettre en œuvre pour y parvenir à travers une revue de la littérature et des principaux guidelines. Ainsi, le patient est dit stabilisé lorsque les symptômes productifs et les troubles du comportement ont régressé. Les symptômes positifs, le nombre de rechutes antérieures, l’alliance avec le patient et son entourage, la bonne observance thérapeutique en sont des critères prédictifs importants. Après un épisode aigu, l’organisation minutieuse de la sortie de l’hôpital et l’élaboration d’un projet de soins ambulatoires dans des structures de soins adaptées permettent de consolider la stabilisation et d’obtenir la rémission. L’objectif est d’améliorer les capacités fonctionnelles des patients, leur adaptation sociale et surtout leur qualité de vie. Schizophrenia is a debilitating disease that usually begins in young adulthood, at a time when a person would usually make the transition to independent living, but it can occur at any age. The symptoms and behaviour associated with psychosis and schizophrenia have a distressing impact on the individual, and the family. The course of schizophrenia varies considerably. Although most patients will recover, some will have persisting difficulties or remain vulnerable to future episodes. Therefore, stabilisation of patients in acute phases and avoidance of relapse are major objectives of management throughout the course of this disease. The purpose of this article is to clarify the stabilisation, to study the contributing factors and strategies to implement to achieve stability, through a literature review and key guidelines. Thus, the patient is stabilised when productive symptoms and behavioural problems have decreased. So, the stable phase represents a prolonged period of treatment and rehabilitation during which symptoms are under adequate control and the focus is on improving functioning and recovery. Important predictive criteria of stabilisation include: positive symptoms, the number of previous relapses, cooperation with the patient and family, good adherence to treatment and the use of long acting injectable second-generation antipsychotics. After an acute relapse, the careful organization of the discharge and the development of a proposed ambulatory care in tailored care structures will help consolidate stabilisation and obtain remission. Accepting the idea of continuing treatment is a complex decision in which the psychiatrist plays a central role beside patients and their families. The course of integrated actions on modifiable risk factors such as psychosocial support, addictive comorbidities, identification of prodromes, active information for the therapeutic education of patients and families and access to care will also be supported. This would improve the functional abilities of patients, their social adaptation and particularly their quality of life." @default.
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- W2015218002 date "2014-10-01" @default.
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- W2015218002 title "Stabilisation des patients schizophrènes en post-aigu : de l’hôpital à la cité" @default.
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- W2015218002 doi "https://doi.org/10.1016/j.encep.2014.08.008" @default.
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