CAJ | 학술논문

目的探讨自我管理教育对首发精神分裂症患者社会功能及其生活质量的影响.方法将116例首发精神分裂症患者随机分为观察组和对照组各58例,其中脱落5例.对照组常规用抗精神病药治疗和一般的健康教育,观察组在此基础上实施自我管理教育,并随访1年.采用简明精神病量表(BPRS)、住院患者护士观察量表(NOSIE-30)、社会功能缺陷量表(SDSS)和生活质量综合评定问卷(GQOLI),分别于入组时及随访结束时进行评估.结果入组时,所有量表评分两组间比较,差异均无显著性意义(P＞0.05);但随访结束时,观察组患者的BPRS、NOSIE-30中的总消极因素及SDSS评分均明显低于对照组(P＜0.01),而NOSIE-30总分、总积极因素及GQOLI评分均明显高于对照组(P＜0.01),差异均有统计学意义.结论自我管理教育有助于改善首发精神分裂症患者的精神症状,促进其社会功能的恢复,提高其生活质量.
목적 탐토자아관리교육대수발정신분렬증환자사회공능급기생활질량적영향.방법 장116례수발정신분렬증환자수궤분위관찰조화대조조각58례,기중탈락5례.대조조상규용항정신병약치료화일반적건강교육,관찰조재차기출상실시자아관리교육,병수방1년.채용간명정신병량표(BPRS)、주원환자호사관찰량표(NOSIE-30)、사회공능결함량표(SDSS)화생활질량종합평정문권(GQOLI),분별우입조시급수방결속시진행평고.결과 입조시,소유량표평분량조간비교,차이균무현저성의의(P＞0.05);단수방결속시,관찰조환자적BPRS、NOSIE-30중적총소겁인소급SDSS평분균명현저우대조조(P＜0.01),이NOSIE-30총분、총적겁인소급GQOLI평분균명현고우대조조(P＜0.01),차이균유통계학의의.결론 자아관리교육유조우개선수발정신분렬증환자적정신증상,촉진기사회공능적회복,제고기생활질량.
Objective To detect the effect of social functions and quality of life of self -control education in patients with first cpisode schizophrenia. Methods A total of 116 patients with first episode schizophrenia were randomly divided into the observation group (58)and the control group (58) . Both the groups were received anti -psychotics treatment and general health education, but self-control education was given to the observation group. These patients were followed up for 1 year. All the subjects were evaluated by brief psychiatric rating scale (BPRS), nurse observation scale for inpatient evaluation -30 (NOSIE -30), social disability screening schedule (SDSS) and the generic quality of life inventory (GQOLI) . Results There were 111 subjects who had completed the trial. There were no significant differences between the two groups at the beginning ( P ＞ 0. 05 ), but were significant differences after a year (P ＜0. 01 ) . Conclusions Self-control education could improve psychiatric symptoms of patients with first episode schizophrenia, help to the recovery of social functions and improve quality of life.