Fottrell E, Peermohamed R, Kothari R
Br Med J. 1975 Dec 20;4(5998):675-7. doi: 10.1136/bmj.4.5998.675.
In a study to identify and define a central group of long-stay psychiatric patients who are resistant to discharge 422 were found who had been in hospital for eight to 23 years. These "problem" patients represented 40% of all long-stay patients. The total number of years that they had spent in hospital was nearly double that of the remaining patients. They were mostly unvisited, unoccupied, and single, and most were suffering from schizophrenia or organic psychosis. Half were in a good or reasonably good state of mental health, and three-quarters were in a good or reasonably good state of physical health. The findings have implications for the rehabilitation and treatment of these patients and also for the provision of community aftercare facilities.
在一项旨在识别和界定一组抗拒出院的长期住院精神科患者核心群体的研究中，发现了422名住院8至23年的患者。这些“问题”患者占所有长期住院患者的40%。他们住院的总时长几乎是其余患者的两倍。他们大多无人探访、无所事事且单身，多数患有精神分裂症或器质性精神病。一半患者的心理健康状况良好或尚可，四分之三患者的身体健康状况良好或尚可。这些研究结果对这些患者的康复和治疗以及社区后续护理设施的提供均具有启示意义。
