CAJ | 학술논문

目的：探讨家庭防治模式对慢性精神病患者的社会认知功能和直接医疗成本的影响。方法：按入组标准对236名社会精神病患者（实际完成者215人），采用定期入户随访，中间门诊和电话随访的形式，进行为期一年的家庭防治干预。采用自制一般情况调查表、社会功能缺陷量表（SDSS）、简易智力状态量表（MMSE）对干预前、5个月、10个月时的情况进行评估，进行自身前后对照研究。结果：家庭防治干预前，干预5个月后、10个月后：①社会功能（SDSS）逐步改善（F ＝5.391，P﹤0.01）；②认知功能（MMSE）大部分逐渐改善（P﹤0.01）；③进行一年家庭防治直接医疗花费为102.6~14521.23元，平均（729.55±1709.94）元。结论：对慢性精神病开展家庭防治模式可以降低医疗费用，有效改善患者的社会功能，值得进一步探索推广，但认知功能的全面改善需要更综合持久的过程。
목적：탐토가정방치모식대만성정신병환자적사회인지공능화직접의료성본적영향。방법：안입조표준대236명사회정신병환자（실제완성자215인），채용정기입호수방，중간문진화전화수방적형식，진행위기일년적가정방치간예。채용자제일반정황조사표、사회공능결함량표（SDSS）、간역지력상태량표（MMSE）대간예전、5개월、10개월시적정황진행평고，진행자신전후대조연구。결과：가정방치간예전，간예5개월후、10개월후：①사회공능（SDSS）축보개선（F ＝5.391，P﹤0.01）；②인지공능（MMSE）대부분축점개선（P﹤0.01）；③진행일년가정방치직접의료화비위102.6~14521.23원，평균（729.55±1709.94）원。결론：대만성정신병개전가정방치모식가이강저의료비용，유효개선환자적사회공능，치득진일보탐색추엄，단인지공능적전면개선수요경종합지구적과정。
Objective:To explore effects of family control model on social and cognitive function,and direct medical cost for patients with chronic mental illness. Methods:According to inclusion criteria,the family prevention interventions were conducted on 236 community mental patients(215 people completed)by regular home follow-up,outpatient and telephone follow-up for one year. Before and 5 and 10 months after the intervention,these patients were assessed with the self-made questionnaire,social disability screening schedule(SDSS),and mini mental state examination(MMSE). Results:Compared with those before the intervention,5 and 10 months after the intervention:(1)the social function(SDSS)was significantly improved(F=5. 391,P﹤0. 01);(2)most signifi-cant improvement in cognitive function(MMSE)were made(P﹤0. 01);(3)the direct medical cost of the family prevention was 102. 6-14521. 23 yuan with an average of 729. 55±1709. 94 yuan. Conclusions:The family control model for the patients with chronic men-tal illness can reduce medical expenses and improve their social function. Therefore,this model is worthy of further exploration and pro-motion. It should improve the model for the overall improvement of cognitive function.