精神分裂症患者的初级护理：探寻良好实践方法。
The primary care of patients with schizophrenia: a search for good practice.
作者信息
Burns T, Kendrick T
机构信息
Department of General Psychiatry, St George's Hospital Medical School, London.
出版信息
Br J Gen Pract. 1997 Aug;47(421):515-20.
Abstract
The proportion of patients with schizophrenia who lose contact with the secondary services is between 25% and 40%. The general practitioner remains the health care professional most likely to be in contact with such patients. A consensus group of 14 members met on four occasions, reviewed the relevant literature, and developed good-practice guidelines in five areas: establishing a register and organizing regular reviews; comprehensive assessments; information and advice for patients and carers; indications for involving specialist services; and crisis management. The guidelines are presented and their supporting evidence summarized.
摘要
与二级医疗服务失去联系的精神分裂症患者比例在25%至40%之间。全科医生仍然是最有可能与这类患者保持联系的医疗保健专业人员。一个由14名成员组成的共识小组召开了4次会议，查阅了相关文献，并在五个领域制定了良好实践指南：建立登记册并组织定期复查；全面评估；为患者及护理人员提供信息和建议；引入专科服务的指征；以及危机管理。现将这些指南及其支持证据进行总结介绍。
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本文引用的文献
1
The general practitioner and the schizophrenic patient.全科医生与精神分裂症患者。
Br Med J. 1962 Apr 7;1(5283):972-6. doi: 10.1136/bmj.1.5283.972.
2
Cardiovascular and respiratory risk factors and symptoms among general practice patients with long-term mental illness.
Br J Psychiatry. 1996 Dec;169(6):733-9. doi: 10.1192/bjp.169.6.733.
3
Family interventions in schizophrenia.精神分裂症的家庭干预
BMJ. 1996 Aug 31;313(7056):505-6. doi: 10.1136/bmj.313.7056.505.
4
Case management: a dubious practice.
BMJ. 1996 Mar 2;312(7030):523-4. doi: 10.1136/bmj.312.7030.523.
5
Do clinical guidelines introduced with practice based education improve care of asthmatic and diabetic patients? A randomised controlled trial in general practices in east London.基于实践的教育引入的临床指南能否改善哮喘和糖尿病患者的护理？伦敦东部全科医疗的一项随机对照试验。
BMJ. 1995 Dec 2;311(7018):1473-8. doi: 10.1136/bmj.311.7018.1473.
6
Treatment of alcoholism among schizophrenic outpatients: 4-year outcomes.精神分裂症门诊患者酒精成瘾的治疗：4年随访结果
Am J Psychiatry. 1993 Feb;150(2):328-9. doi: 10.1176/ajp.150.2.328.
7
Care of patients with schizophrenia.精神分裂症患者的护理。
Br J Gen Pract. 1993 Jun;43(371):259-60.
8
Accuracy of diagnosis of psychosis on general practice computer system.综合医疗计算机系统对精神病的诊断准确性。
BMJ. 1993 Jul 3;307(6895):32-4. doi: 10.1136/bmj.307.6895.32.
9
Care of schizophrenia in general practice.全科医疗中精神分裂症的护理。
BMJ. 1993 Oct 9;307(6909):910. doi: 10.1136/bmj.307.6909.910.
10
Provision of care to general practice patients with disabling long-term mental illness: a survey in 16 practices.为患有致残性长期精神疾病的全科医疗患者提供护理：16家诊所的调查
Br J Gen Pract. 1994 Jul;44(384):301-5.
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