CAJ | 학술논문

目的：探讨康复训练对慢性分裂症患者临床康复的影响。方法将60例慢性分裂症患者随机分为两组，每组30例，两组均接受常规药物维持治疗和护理干预，研究组在此基础进行有计划的康复训练。观察6个月。训练前后采用阴性症状量表、护士用住院病人观察量表评定临床效果。结果康复训练6个月末，研究组阴性症状量表评分及护士用住院病人观察量表激惹、迟缓、总消极因子分均较训练前显著下降，且显著低于对照组（ P＜0．05或0．01）；护士用住院病人观察量表社会能力、个人整洁、总积极因子、病情总估计因子分均较训练前显著升高，且显著高于对照组（P＜0．01）；对照组则均无显著变化（P＞0．05）。结论康复训练能显著改善慢性精神分裂症患者的阴性症状，提高社会功能和生活质量。
목적：탐토강복훈련대만성분렬증환자림상강복적영향。방법장60례만성분렬증환자수궤분위량조，매조30례，량조균접수상규약물유지치료화호리간예，연구조재차기출진행유계화적강복훈련。관찰6개월。훈련전후채용음성증상량표、호사용주원병인관찰량표평정림상효과。결과강복훈련6개월말，연구조음성증상량표평분급호사용주원병인관찰량표격야、지완、총소겁인자분균교훈련전현저하강，차현저저우대조조（ P＜0．05혹0．01）；호사용주원병인관찰량표사회능력、개인정길、총적겁인자、병정총고계인자분균교훈련전현저승고，차현저고우대조조（P＜0．01）；대조조칙균무현저변화（P＞0．05）。결론강복훈련능현저개선만성정신분렬증환자적음성증상，제고사회공능화생활질량。
Objective To explore the influences of rehabilitation training on clini-cal rehabilitation of chronic schizophrenics .Methods Sixty chronic schizophrenics were randomly assigned to two groups of 30 ones each ,both groups received routine maintenance drug therapy and nursing inter-vention ,on that basis research group was plus purposeful rehabilitation training for 6 months .Clinical effects were assessed with the Scale for Assessments of Negative Symptom (SANS) and Nurses’ Observa-tion Scale for Inpatient Evaluation (NOSIE) before and after training .Results At the end of 6-month training the SANA score as well as agitation ,retardation and total negative factor score of the NOSIE low-ered more significantly in research group compared with pre-training and were significantly lower compared with control group (P<0 .05 or 0 .01);the score for social ability ,individual neatness ,total positive fac-tor and total assessment of patients’ condition of the NOSIE heightened more significantly compared with pre-training and those were significantly higher compared with control group (P<0 .01);control group had no notable changes ( P>0 .05) .Conclusion Rehabilitation training could notably improve negative symptoms and increase social function and quality of life for chronic schizophrenics .