Marks I
Br Med J (Clin Res Ed). 1985 Apr 20;290(6476):1181-4. doi: 10.1136/bmj.290.6476.1181.
In a randomised controlled clinical trial neurotic patients (mainly phobic and obsessive-compulsive) did significantly better up to one year follow up after receiving behavioural psychotherapy from a nurse therapist rather than routine treatment from a general practitioner. At the end of the year control patients who had not improved had crossover behavioural treatment from the nurse and then improved. Those who dropped out or refused therapy did not show worthwhile gains. Patients preferred being treated in the primary care setting rather than in hospital. Placing nurse therapists in primary care is not only viable but may save more health care resources than it consumes.
在一项随机对照临床试验中，神经症患者（主要是恐惧症和强迫症患者）在接受护士治疗师的行为心理治疗后，在长达一年的随访中，其表现明显优于接受全科医生常规治疗的患者。到年底时，未改善的对照患者转而接受护士的交叉行为治疗，随后病情有所改善。那些退出或拒绝治疗的患者没有显示出显著的疗效。患者更喜欢在初级保健机构接受治疗，而不是在医院。在初级保健机构安排护士治疗师不仅可行，而且可能节省的医疗资源比其消耗的更多。
