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精神病的门诊治疗与私人治疗

Clinic versus private treatment of psychosis.

作者信息

Seeman M V

出版信息

J Clin Psychiatry. 1978 Mar;39(3):213-5.

PMID:204624
Abstract

Thirty patients with a hospital diagnosis of schizophrenia were randomly assigned upon discharge to either 1) a specialized aftercare clinic of 2) to private psychiatrists. At the end of six months, the clinic patients had spent significantly less time as hospital readmissions and were significantly more occupied (i.e. employed or in school) than the private patients. It seems possible that attendance at clinic provides group pressure to maintain drug compliance and may thus work to reduce rehospitalization. It is also likely that the network of clinic paramedical and volunteer staff, by its flexibility and availability, aids the patient's transition into employment.

摘要

30名经医院诊断为精神分裂症的患者在出院时被随机分配到以下两组:1)一家专门的后续护理诊所,或2)私人精神科医生处。六个月结束时,诊所组患者再次入院的时间显著减少,而且与私人医生组患者相比,有工作或上学的比例显著更高。参加诊所治疗似乎能形成群体压力以维持药物依从性,从而可能有助于减少再次住院。诊所的辅助医疗人员和志愿者所构成的网络,凭借其灵活性和可及性,也可能有助于患者向就业过渡。

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