CAJ | 학술논문

目的探讨强化行为矫正干预对精神分裂症患者康复效果的影响.方法将97例经住院治疗处于恢复期的精神分裂症患者随机分为研究组和对照组,研究组在给予抗精神病药物及常规护理外,同时给予强化行为矫正干预,对照组只给予抗精神病药物及常规护理,采用护士用住院患者观察量表(NOSIE),住院精神患者康复疗效评定量表(IPROS)对两组患者进行6周康复状态的评定.结果干预6周后研究组NOSIE总分和各个因子分与对照组比较,差异均有统计学意义,尤其是社会能力(18.08±2.63),社会兴趣(16.23±3.21),个人卫生(17.13±1.54)等及总评分与干预前和对照组比较有非常显著性进步和改善(P＜0.01).IPROS总分和各个因子得分均低于对照组,尤其是生活能力,社交能力,讲究卫生和兴趣有很大改善提高,与对照组比较差异有统计学意义(P＜0.01).结论强化行为矫正干预有助于改善精神分裂症患者残留症状,降低社会残疾程度,对提高患者生活质量及社会功能,促进疾病康复等均有积极作用.
목적 탐토강화행위교정간예대정신분렬증환자강복효과적영향.방법 장97례경주원치료처우회복기적정신분렬증환자수궤분위연구조화대조조,연구조재급여항정신병약물급상규호리외,동시급여강화행위교정간예,대조조지급여항정신병약물급상규호리,채용호사용주원환자관찰량표(NOSIE),주원정신환자강복료효평정량표(IPROS)대량조환자진행6주강복상태적평정.결과 간예6주후연구조NOSIE총분화각개인자분여대조조비교,차이균유통계학의의,우기시사회능력(18.08±2.63),사회흥취(16.23±3.21),개인위생(17.13±1.54)등급총평분여간예전화대조조비교유비상현저성진보화개선(P＜0.01).IPROS총분화각개인자득분균저우대조조,우기시생활능력,사교능력,강구위생화흥취유흔대개선제고,여대조조비교차이유통계학의의(P＜0.01).결론 강화행위교정간예유조우개선정신분렬증환자잔류증상,강저사회잔질정도,대제고환자생활질량급사회공능,촉진질병강복등균유적겁작용.
Objective To explore the effect of strengthening behavior modification intervention on the rehabilitation of patients with schizophrenia.Methods 97 patients with schizophrenia,who were in the rehabilitation period by the hospitalization therapy,were randomly divided into the study group and the control group.The study group Was given enhanced behavior modification intervention,besides the antipsychotics and conventional care.While the control group Was given only anti-psychotic drugs and routine care.The nurse-patient observation Scale(NOSIE)and the rehabilitation of hospitalized mental patients Rating Scale(IPROS) were used to evaluate the rehabilitation states of six weeks in the two groups.Results Six weeks after the intervention.the differences of the total score of NOSIE and the scores of each factor were significant compared nwith the control group.Especially,social competence(18.08±2.63),social interest(16.23±3.21),personal hygiene(17.13±1.54)and the total score had a very significant progress and improvement(P<O.01)compared to those before the intervention and those in the control group.IPROS scores and the scores of each factor were lower than those of the control group.In particular,the ability of living,social skills,paying attention to hygiene and interest had an obvious improvement,the difference was significant compared with the control group(P<0.01).Conclusions Strengthening behavior modification intervention helps to improve the residual symptoms of schizophrenia and reduces the degree of social disability.It has a positive effect for enhancing the quality of life of patients and the social function and promoting the rehabilitation of the disease.