Wooff K, Goldberg D P, Fryers T
Psychol Med. 1986 May;16(2):407-14. doi: 10.1017/s0033291700009235.
Case register data are used to describe the age and diagnostic distribution of people using the community psychiatric nursing (CPN) service in Salford. Data are related to those in hospital-based psychiatric services. Annual prevalence rates grew dramatically, and increasing numbers of people were found to have received continuous CPN care for 2 years and over. Following the establishment of the CPN service in a primary care setting, the proportion of patients suffering from depression in receipt of CPN care increased, and the resulting overall diagnostic distribution of CPN patients became similar to that of the specialist psychiatric services as a whole. Patients under the sole care of community psychiatric nurses (about 19% of the total CPN prevalence each calendar year) contributed to an overall increase in treated prevalence. The data indicate that CPN services in Salford are treating the morbidity found at primary care level, rather than reducing the demands made on the traditional services.
病例登记数据用于描述索尔福德社区精神科护理（CPN）服务使用者的年龄和诊断分布情况。这些数据与医院精神科服务的数据相关。年患病率急剧上升，并且发现越来越多的人接受了两年及以上的持续CPN护理。在初级保健机构设立CPN服务后，接受CPN护理的抑郁症患者比例有所增加，CPN患者的总体诊断分布结果变得与整个专科精神科服务的分布相似。仅由社区精神科护士护理的患者（每年约占CPN总患病率的19%）导致了治疗患病率的总体上升。数据表明，索尔福德的CPN服务正在治疗初级保健层面发现的疾病，而不是减少对传统服务的需求。
