CAJ | 학술논문

目的：通过纵向随访评估接送患者家属定期探视对长期住院慢性精神分裂症患者精神症状及生活质量的影响。方法采用阳性和阴性症状量表（PANSS）和护士用住院病人观察量表（NOSIE-30）对长期住院的40例慢性精神分裂症患者进行评估，并进行为期1年的随访，把有家属定期探视患者作为探视组（18例），无家属定期探视患者作为无探视组（22例），比较两组患者精神症状与生活质量的变化。结果PANSS探视组和无探视组基线和随访时组内和组间对比差异无统计学意义（P＞0.05）。NOSIE-30评分探视组和无探视组基线比较差异无统计学意义（P＞0.05），探视组基线和随访时前后对比，总消极因素因子分下降，病情总估计因子分增加，差异有统计学意义（P＜0.05），无探视组基线和随访时前后对比社会兴趣，个人整洁，总积极因素及病情总估计因子分下降，激惹，迟缓，抑郁及总消极因素因子分增加，差异有统计学意义（P＜0.05）。结论定期家庭探视对长期住院慢性精神分裂症患者精神症状无改善，但对住院生活质量有积极作用。
목적：통과종향수방평고접송환자가속정기탐시대장기주원만성정신분렬증환자정신증상급생활질량적영향。방법채용양성화음성증상량표（PANSS）화호사용주원병인관찰량표（NOSIE-30）대장기주원적40례만성정신분렬증환자진행평고，병진행위기1년적수방，파유가속정기탐시환자작위탐시조（18례），무가속정기탐시환자작위무탐시조（22례），비교량조환자정신증상여생활질량적변화。결과PANSS탐시조화무탐시조기선화수방시조내화조간대비차이무통계학의의（P＞0.05）。NOSIE-30평분탐시조화무탐시조기선비교차이무통계학의의（P＞0.05），탐시조기선화수방시전후대비，총소겁인소인자분하강，병정총고계인자분증가，차이유통계학의의（P＜0.05），무탐시조기선화수방시전후대비사회흥취，개인정길，총적겁인소급병정총고계인자분하강，격야，지완，억욱급총소겁인소인자분증가，차이유통계학의의（P＜0.05）。결론정기가정탐시대장기주원만성정신분렬증환자정신증상무개선，단대주원생활질량유적겁작용。
Objective To evaluate the impact of regular family visit on psychiatric symptoms and life quality of schizophrenia patients receiving long-term hospitalization treatment based on longitudinal follow-up. Methods Positive and Negative Syndrome Scale (PANSS) and Nurses’Observation Scale for Inpatient Evaluation (NOSIE-30) were used to assess 40 patients with chronic schizophrenia with follow-up visit for 1 year. Patients with regular family visit were assigned to the visit group(18 cases) and Patients without regular family visit were assigned to the non-visit group (22 cases). The changes in psychiatric symptoms and life quality were compared between the two groups. Results When measured by PANSS, the visit group and the non-visit group had no intra-group or between-group differences at baseline or during follow-up (P > 0.05). When measured by NOSIE-30, the visit group and the non-visit group had no differences at baseline(P>0.05);the visit group had lower score of total negative factors and higher score of total patient assessment during follow-up than at baseline, with statistical significance (P < 0.05); the non-visit group had lower score of social interest, personal neatness, total positive factors and total patient assessment and higher score of irritation, slowness, depression and total negative factors during follow-up than at baseline,with statistical significance (P<0.05). Conclusion Regular family visit does not improve psychiatric symptoms of schizophrenia patients receiving long-term hospitalization treatment, but plays a positive role in improving their life quality.