Pai S, Kapur R L
Acta Psychiatr Scand. 1983 Feb;67(2):80-8. doi: 10.1111/j.1600-0447.1983.tb06726.x.
Twenty-seven patients diagnosed as schizophrenics suffering their first episode of illness and who had not received any prior medical treatment for the present illness, have been treated in their own homes. The treatment was carried out by a visiting nurse, trained in follow-up assessment and counselling. The outcome of this group was compared with a similar group of 27 patients who underwent initial mental hospital admission and subsequent outpatient follow-up. Both groups were followed up for 6 months. The results reveal that the home treatment through a visiting nurse gives a better clinical outcome, better social functioning of the patient and greatly reduces the burden on the patients' families. This treatment modality is also more economical.
27名被诊断为首次发病且此前未因当前疾病接受过任何医学治疗的精神分裂症患者,已在其家中接受治疗。治疗由一名经过随访评估和咨询培训的访视护士进行。将该组患者的治疗结果与另一组27名最初住院然后接受门诊随访的类似患者进行了比较。两组均随访6个月。结果显示,通过访视护士进行的家庭治疗能带来更好的临床效果、患者更好的社会功能,并大大减轻患者家庭的负担。这种治疗方式也更经济。