Gournay K J
Section of Psychiatric Nursing, University of London, England.
J Adv Nurs. 1991 Jan;16(1):82-91. doi: 10.1111/j.1365-2648.1991.tb01501.x.
This study examines, using a randomised control trial, the question of the optimum base for exposure treatment with agoraphobic clients. The results have relevance for community psychiatric nurses and nurse behaviour therapists working with such problems and indeed for other behavioural practitioners. While the results confirm the already extensive evidence for the efficacy of exposure in vivo for agoraphobic clients, the results show that in general there is no difference between outcome of treatment delivered from the patient's own home and the out-patient clinic. There are, however, a small number of clients who will not attend psychiatric out-patient clinics for treatment but who will subsequently do well with home-based treatment. The reasons for the experimental findings and implications for psychiatric nurses are discussed.
本研究采用随机对照试验，探讨了针对广场恐惧症患者进行暴露疗法的最佳治疗场所问题。研究结果对处理此类问题的社区精神科护士和护士行为治疗师具有参考价值，实际上对其他行为治疗从业者也有参考价值。虽然研究结果证实了已有大量证据表明现场暴露疗法对广场恐惧症患者有效，但结果表明，总体而言，在患者家中进行治疗与在门诊进行治疗的效果并无差异。然而，有少数患者不会前往精神科门诊接受治疗，但随后在家中接受治疗时效果良好。文中讨论了实验结果的原因以及对精神科护士的启示。
