CAJ | 학술논문

目的：探讨职业治疗对社区精神分裂症患者康复效果的影响。方法：收集60例社区精神分裂症患者随机分为研究组及对照组，对照组患者进行常规社区康复，研究组患者在常规社区康复基础上开展相关职业治疗，并以临床总体印象量表（ CGI）、服药态度量表（DAI）、日常生活能力评定量表（ADL）作为评价工具，分别在干预前后对两组患者进行疗效评估。结果：研究组患者治疗后 CGI 疾病严重程度减分率和总体进步评分均高于对照组，比较差异有统计学意义。研究组患者治疗后 DAI 得分高于治疗前，而 ADL 得分低于治疗前，两者均具备统计学差异。治疗后两组患者 DAI 及 ADL 得分具备统计学差异。结论：职业治疗对社区精神分裂症患者精神症状、服药依从性、日常生活能力有明显的改善。
목적：탐토직업치료대사구정신분렬증환자강복효과적영향。방법：수집60례사구정신분렬증환자수궤분위연구조급대조조，대조조환자진행상규사구강복，연구조환자재상규사구강복기출상개전상관직업치료，병이림상총체인상량표（ CGI）、복약태도량표（DAI）、일상생활능력평정량표（ADL）작위평개공구，분별재간예전후대량조환자진행료효평고。결과：연구조환자치료후 CGI 질병엄중정도감분솔화총체진보평분균고우대조조，비교차이유통계학의의。연구조환자치료후 DAI 득분고우치료전，이 ADL 득분저우치료전，량자균구비통계학차이。치료후량조환자 DAI 급 ADL 득분구비통계학차이。결론：직업치료대사구정신분렬증환자정신증상、복약의종성、일상생활능력유명현적개선。
Objective:To explore influence of occupational therapy on rehabilitation effect of schizophrenic patients in commu-nity. Methods:60 schizophrenic patients in community were collected and randomly divided into research group and control group, control group received routine community rehabilitation,whereas research group received the relevant occupational therapy based on the routine community rehabilitation. All the patients were assessed by using clinical global impression scale(CGI),drug attitude invento-ry(DAI),and activity of daily living scale(ADL)before and after the intervention. Results:After the treatment,the reducing score rate of disease severity in CGI and improvement of the overall score of research group were higher than those of control group,and the differences were statistically significant. DAI scores of research group after the treatment were higher than those before the treatment, while ADL scores were lower than those before the treatment,and the differences were statistically significant. Moreover,the differ-ences of DAI and ADL scores between the two groups were statistically significant. Conclusions:The occupational therapy for schizo-phrenic patients in community can improve their mental symptoms,medication adherence,and daily life ability.