CAJ | 학술논문

目的探讨开展农疗对慢性精神分裂症住院患者孤独感的影响. 方法将80例慢性精神分裂症患者随机分为研究组与对照组各40例.两组均接受常规康复治疗及护理干预,在此基础上研究组联合农疗.观察6 mo.于治疗前及治疗第2 w、4 w、8 w、16 w、24 w末采用简明精神病量表评定临床效果,UCLA孤独量表评定孤独状况. 结果研究组治疗后各时点简明精神病量表总分、UCLA孤独量表总分均显著低于治疗前(P＜0.01),并且均显著低于对照组(P＜0.05或0.01),但治疗后各时点评分均无显著性差(P＞0.05);对照组除治疗8 w末简明精神病量表总分显著低于治疗前(P＜0.05)外,其他时点评分治疗前后均无显著变化(P＞0.05). 结论开展农疗对疾病康复具有积极的协同作用,有利于减轻慢性精神分裂症患者的孤独感,有利于患者的康复.
목적 탐토개전농료대만성정신분렬증주원환자고독감적영향. 방법 장80례만성정신분렬증환자수궤분위연구조여대조조각40례.량조균접수상규강복치료급호리간예,재차기출상연구조연합농료.관찰6 mo.우치료전급치료제2 w、4 w、8 w、16 w、24 w말채용간명정신병량표평정림상효과,UCLA고독량표평정고독상황. 결과 연구조치료후각시점간명정신병량표총분、UCLA고독량표총분균현저저우치료전(P＜0.01),병차균현저저우대조조(P＜0.05혹0.01),단치료후각시점평분균무현저성차(P＞0.05);대조조제치료8 w말간명정신병량표총분현저저우치료전(P＜0.05)외,기타시점평분치료전후균무현저변화(P＞0.05). 결론 개전농료대질병강복구유적겁적협동작용,유리우감경만성정신분렬증환자적고독감,유리우환자적강복.
Objective To explore the influences of farming therapy on feeling of loneliness of hospitalized chronic schizophrenics.Methods 80 chronic schizophrenics were randomly divided into two groups of 40 ones each,both groups receieved routine rehabilitation treatment and nursing intervention,research group was plus farming therapy for 6 months.Efficacies were assessed with the Brief Psychiatric Rating Scale(BPRS) and loneliness status with the UCLA Loneliness Scales(UCLA-LS) before treatment and at the end of the 2nd,4th,8th,16th and 24th week. Results BRPS and UCLA-LS total scores at each time-point were significantly lower in the research compared with pretreatment(P<0.01) and than in the control group(P<0.05 or 0.01), but there were no significant differences in each time-point score(P>0.05);in control group,the BPRS total score at the end of the 8th week was significantly lower compared with pretreatment(P<0.05) and there were no significant changes in other time-point scores(P>0.05). Conclusion Farming therapy has an active synergistic effect on rehabilitation and makes for lessening feeling of loneliness and rehabilitation of chronic schizophrenics.