CAJ | 학술논문

目的探讨日记疗法对首次住院的精神分裂症患者院外康复效果的影响.方法将90例首次住院的精神分裂症恢复期患者随机分为干预组和对照组各45例.2组均继续接受系统的抗精神病药物治疗,对照组进行-般的健康教育,而干预组在此基础上进行日记疗法.对2组患者出院后随访1年.采用自拟服药依从性调查表、简明精神病评定量表(BPRS)、社会功能缺陷筛选量表(SDSS),由临床经验丰富的医护人员于人组时、干预后6个月、干预后1年对2组患者进行评定.结果干预后干预组患者BPBS总分、SDSS、服药依从性和复发状况均显著优于对照组,差异有统计学意义.结论日记疗法能有效恢复首次住院的精神分裂症患者的社会功能、提高服药依从性、降低复发率、改善生活质量.
목적 탐토일기요법대수차주원적정신분렬증환자원외강복효과적영향.방법 장90례수차주원적정신분렬증회복기환자수궤분위간예조화대조조각45례.2조균계속접수계통적항정신병약물치료,대조조진행-반적건강교육,이간예조재차기출상진행일기요법.대2조환자출원후수방1년.채용자의복약의종성조사표、간명정신병평정량표(BPRS)、사회공능결함사선량표(SDSS),유림상경험봉부적의호인원우인조시、간예후6개월、간예후1년대2조환자진행평정.결과 간예후간예조환자BPBS총분、SDSS、복약의종성화복발상황균현저우우대조조,차이유통계학의의.결론 일기요법능유효회복수차주원적정신분렬증환자적사회공능、제고복약의종성、강저복발솔、개선생활질량.
Objective We discussed the influence of diary therapy for out-of-hospital rehabilitation of schizophrenia patients with first hospitalization. Methods Ninety schizophrenia patients with first hospitaliza-tion and who were during rehabilitation period were randomized into the intervention group and the control group with 45 cases in each group.The two groups both received systemic antipsychotics medication.The control group adopted general health education while the intervention group got diary therapy based upon general health education.The treatment effect was evaluated by medical and nursing staff with abundant experience using the self-medication compliance questionnaire,the brief psychiatric rating scale(BPRS)and social disability screening schedule(SDSS)at the first day,6th month and first year after intervention. Results The total score of BPRS,SDSS,medication compliance and relapse rate in the intervention group was statistically better than those of the control group. Conclusions Diary therapy could facilitate the recovery of racial function,improve the medica-tion compliance,reduce the relapse rate and increase life quality for schizophrenia patients.