Kunze H
Br J Psychiatry. 1985 Sep;147:261-4. doi: 10.1192/bjp.147.3.261.
This study examines the quality of residential care in non-psychiatric nursing homes and psychiatric group homes for a representative epidemiologically-based sample of patients discharged from a psychiatric hospital in West Germany. There were twice as many chronically ill patients in sheltered accommodation as in hospital, 85% of them in nursing homes, which scored badly on all measures of therapeutic environment. This poverty of social environment was correlated with severity of symptoms for schizophrenics, especially with flatness of affect and poverty of speech. Nursing homes were just as likely as hospitals to promote chronic illness and hinder rehabilitation.
本研究针对西德一家精神病院出院患者的具有代表性的流行病学样本，考察了非精神病疗养院和精神病集体之家的住院护理质量。收容机构中的慢性病患者数量是医院中的两倍，其中85%在疗养院，而疗养院在治疗环境的各项指标上得分都很低。这种社会环境的匮乏与精神分裂症患者症状的严重程度相关，尤其是与情感平淡和言语匮乏相关。疗养院与医院一样，都有可能导致慢性病加剧并阻碍康复。
