CAJ | 학술논문

目的探讨通过健康教育的模式,改善暴力精神病患者家庭环境,提高其生活质量.方法由医生和护士组成健康教育小组,对120例经在院治疗达到临床痊愈后出院的暴力精神病患者,在家庭随访或门诊复诊时实施健康教育,为期1年.采用家庭环境量表(FES-Cv)和生活质量综合评定问卷(GQOLI)于入组和出组时对患者的家庭环境状况和生活质量进行评估.结果实施健康教育前后比较,FES-CV量表在亲密度、情感表达、矛盾性、独立性、成功性、控制性等分量表上得分明显改善,差异有统计学意义(P＜0.01)；其中亲密度、情感表达、独立性在入组时评分分别是(5.58±1.26)分、(5.89±1.62)分、(4.24±1.16)分,而出组时提高到(6.92±1.43)分、(6.54±1.71)分、(5.75±1.64)分,差异具有统计学意义(t分别为5.20,4.13,3.95；P＜0.01).GQOLI量表客观状态与主观满意度每一项得分均有提高,差异有统计学意义(P＜0.01),其中客观状态躯体功能入组时得分为(20.63±4.52)分,出组时增加至(25.92±6.43)分,组间比较差异具有统计学意义(t=5.57,P＜0.01).结论本研究表明,通过健康教育能够改善暴力精神病患者家庭环境,提高患者生活质量,促进社会功能恢复,对稳定暴力行为有积极的作用.
목적 탐토통과건강교육적모식,개선폭력정신병환자가정배경,제고기생활질량.방법 유의생화호사조성건강교육소조,대120례경재원치료체도림상전유후출원적폭력정신병환자,재가정수방혹문진복진시실시건강교육,위기1년.채용가정배경량표(FES-Cv)화생활질량종합평정문권(GQOLI)우입조화출조시대환자적가정배경상황화생활질량진행평고.결과 실시건강교육전후비교,FES-CV량표재친밀도、정감표체、모순성、독립성、성공성、공제성등분량표상득분명현개선,차이유통계학의의(P＜0.01)；기중친밀도、정감표체、독립성재입조시평분분별시(5.58±1.26)분、(5.89±1.62)분、(4.24±1.16)분,이출조시제고도(6.92±1.43)분、(6.54±1.71)분、(5.75±1.64)분,차이구유통계학의의(t분별위5.20,4.13,3.95；P＜0.01).GQOLI량표객관상태여주관만의도매일항득분균유제고,차이유통계학의의(P＜0.01),기중객관상태구체공능입조시득분위(20.63±4.52)분,출조시증가지(25.92±6.43)분,조간비교차이구유통계학의의(t=5.57,P＜0.01).결론 본연구표명,통과건강교육능구개선폭력정신병환자가정배경,제고환자생활질량,촉진사회공능회복,대은정폭역행위유적겁적작용.
Objective To discuss improving home environment and enhancing quality of life in violence psychopath through the health education pattern.Methods 120 violence psychopath who had been clinically recovered through hospital treatment were implemented a one-year health education through family follow-up or clinical subsequent visit by a group of doctors and nurses.Family environment scale (FES-CV) and general quality of life inventory (GQOLI) were used to assess the family environment and quality of life of the patients before and after the education.Results FES-CV scores improved significantly in terms of intimacy,emotional expression,contradictory,independence,achievement and controllability (P ＜ 0.01 ).The scores of intimacy,emotional expression and independence were (5.58 ± 1.26) points,(5.89 ± 1.62) points and (4.24 ± 1.16)points before the health education and (6.92 ± 1.43 ) points,(6.54 ± 1.71 ) points and (5.75 ± 1.64) points after the health education.The differences were statistically significant (t =5.20,4.13,3.95,respectively;P ＜0.01 ).Each of the objective condition and the subjective satisfaction score of the GQOLI scale improved and the difference was statistically significant ( P ＜0.01 ),among which the physical function score of objective condition improved from (20.63 ± 4.52) points to (25.92 ± 6.43 ) points and there was significant differenoe between the groups( t =5.57,P ＜ 0.01 ).Conclusions This research indicates that health education could improve home environment of violence psychopath,enhance their quality of life,promote social function restore and have a positive function on stabilizing the act of violence.