In case of our country, the rate of the occurrence of the psychiatric patients is getting increased, schizophrenia patients of them occurrence is 0.18%(at present, 1993). In recent years, a lot of attention have been for community schizophrenic patients follow up education and management. Schizophrenia has been known as one of chronic diseases with a relatively high rate of readmission and frequent recurrence due to highly antipsychotic drug incompliance and wrong use. Therefore, the necessity of antipsychotic drugs and symptoms management on home-based schizophrenic patients and follow up care in community health center was developed. On the basis of these situations this study was conducted, with the Oren`s self-care theory of nursing to identify a degree of self-care compliance among the home-based schizophrenia patients, thus to evaluate the effectiveness of home visit education. The effect of home visit education was evaluated by comparity the consequences of knowledge and practice score about antipsychotic drugs & symptoms management and positive and negative syndrome scale(PANSS) before and after the education. The Nonequivalent control group pretest posttest design was used in the study, and the home visit education was given to the experimental group, while the control group was not given home visit education. A total of 23 schizophrenia patients, who lived in Kyonggido Kapyong gun were studied. Home visit education manual devised by the researcher was used to education for home-based schizophrenia patients. Home visit education period was 4 weeks, which contained 2 home visits per week. Levels of self-care knowledge and practice were identified by the personal structured interview of patient self-report. Positive and negative scale were conducted by researcher. Questionaires were composed of general background question and 10-item knowledge about antipsychotic drugs and symptoms. Of the 30 psychiatric parameters assessed on the PANSS, seven were chosen a priori to constitute a positive scale, seven a negative scale, and the remaining 16 a general psychopathology scale. The data analysis of this study was computerized by using SPSS. A Chi-square test and an independent Wilcoxon rank sum test were done to test homogeneity of general characteristics of subjects between experimental and control groups. Wilcoxon rank sum test was done the comparison of self care compliance (knowledge, practice, symptom) score of subjects between experimental and control groups. The result of this study can be summarized as follows ; 1. "The experimental group given home visit education will demonstrate higher knowledge score about antipsychotic drugs and symptoms than the control group" was rejected (6 weeks : Z=-1,456, p=.022 ; 12 months Z=-.684, p=.231). 2. "The experimental group given home visit education will demonstrate higher practice score about antipsychotic drugs and symptoms than the control group" was rejected (6 weeks : Z=-1,916, p=.027 : 12 months Z=-.030, p=.487) 3. "The experimental group given home visit education will demonstrate decreased schizophrenic symptom than the control group" was rejected 6 weeks : positive symptom(Z=-1,110, p=.133). negative symptom(Z=-2.094, p=.018), General psychopathology symptom(Z=-1,663, p=.048). 12 months : positive symptom(Z=-.647, p=.258), negative symptom(Z=-.893, p=.185), General psychopathology symptom(Z=-.431, p=.333). The result proved that home visit education for home-based schizophrenic patients was an effective intervention in increased knowledge and practice, and decreased symptoms (negative, general psychopathology) of schizophrenia. But, Without systemic and continuous home visit education the effect is reduced and become unsignificant after one year later follow-up study. Therefore, when community health center community mental health specialists must do home visit education systemically and continuously to home-based schizophrenic patients.