CAJ | 학술논문

目的探讨个案管理对社区女性精神分裂症患者生活质量及社会功能的影响。方法将40例在社区治疗的女性精神分裂症患者随机抽签法分为个案管理组（20例）和对照组（20例），在服用抗精神病药物治疗的同时，对个案管理组予以综合干预，观察时间为1年。应用生活质量量表（WHO，QOL-100）和社会功能缺陷筛选量表（SDSS）进行评估。结果6个月、1年末随访时个案管理组阴性症状总分明显优于对照组；且个案管理组在生活质量、独立性领域及社会关系领域的改善显著好于对照组；SDSS中家庭职能、责任心和计划评分值差异较为明显。结论对社区精神分裂症患者开展个案管理综合干预措施，有利于提高女性患者生活质量。
목적탐토개안관리대사구녀성정신분렬증환자생활질량급사회공능적영향。방법장40례재사구치료적녀성정신분렬증환자수궤추첨법분위개안관리조（20례）화대조조（20례），재복용항정신병약물치료적동시，대개안관리조여이종합간예，관찰시간위1년。응용생활질량량표（WHO，QOL-100）화사회공능결함사선량표（SDSS）진행평고。결과6개월、1년말수방시개안관리조음성증상총분명현우우대조조；차개안관리조재생활질량、독립성영역급사회관계영역적개선현저호우대조조；SDSS중가정직능、책임심화계화평분치차이교위명현。결론대사구정신분렬증환자개전개안관리종합간예조시，유리우제고녀성환자생활질량。
Objective To investigate the influence of case management on the life quality and social function of community female patients with schizophrenia. Methods Forty female patients with schizophrenia treated in the community were divided into the case management group (20 patients) and the control group (20 patients) according to the random drawing method. The case management group received comprehensive intervention while taking antipsychotic medicine. The observation duration was 1 year. The quality of life scale (WHO, QOL-100) and social disability screening scale (SDSS) were used for evaluation. Results At the 6-month and 1-year follow-up, the case management group was significantly better than the control group in the total negative symptom score. And the case management group was significantly better than the control group in the impirovement of life quality, independence and social relationship. In terms of SDSS, the differences in family function, responsibility and plan scores were significant. Conclusion The implementation of case management comprehensive intervention measures among the community female patients with schizophrenia is conducive for improving their life quality.