Browne Graeme, Courtney Mary
School of Nursing, University of Southern Queensland, Toowoomba, Queensland 4350, Australia.
Nurs Health Sci. 2004 Mar;6(1):37-44. doi: 10.1111/j.1442-2018.2003.00172.x.
Review of the available literature, from various countries, on housing options indicates that, for people with a mental illness, boarding houses are the least desirable type of community accommodation and that living in their own home is the most desirable type of accommodation. The present research project provides a more in-depth examination of people with schizophrenia and the impact of living in their own home compared to living in a boarding house. In this Australian study there were 3231 subjects, 3033 who were living in their own homes and 201 living in boarding house accommodation. The study used two instruments from the Mental Health Classification and Service Cost Project, specifically the Health of the Nation Outcomes Scale, which is a measure of current symptoms, and a shortened version of the Life Skills Profile, which measures global level of functioning. Results indicated that while there were no differences in the level of psychiatric symptoms experienced, people living in boarding houses had less access to social support, meaningful activities and work; they also had a significantly lower level of global functioning. These findings contradict the conventional wisdom that people with schizophrenia resort to living in boarding houses because of their level of disability and highlights an area of potential intervention for community health services.
对来自不同国家的关于住房选择的现有文献进行回顾表明，对于患有精神疾病的人来说，寄宿公寓是最不理想的社区住宿类型，而住在自己家里是最理想的住宿类型。本研究项目对精神分裂症患者以及与住在寄宿公寓相比住在自己家里的影响进行了更深入的研究。在这项澳大利亚研究中，有3231名受试者，其中3033人住在自己家里，201人住在寄宿公寓。该研究使用了心理健康分类和服务成本项目中的两种工具，特别是《国家健康结果量表》，它是对当前症状的一种测量，以及《生活技能概况》的一个缩短版本，它测量整体功能水平。结果表明，虽然在经历的精神症状水平上没有差异，但住在寄宿公寓的人获得社会支持、有意义活动和工作的机会较少；他们的整体功能水平也显著较低。这些发现与传统观念相矛盾，即精神分裂症患者由于残疾程度而选择住在寄宿公寓，并突出了社区卫生服务潜在干预的一个领域。
