CAJ | 학술논문

目的：探讨精神科医生与社区建立的点对点精神卫生技术支持对社区的干预效果。方法精神科医生进入社区点对点技术服务1年前后，随机抽取新乡市城市、农村各2个社区/乡的49名社区医生和117名社区管理的精神分裂症患者，评估社区医生的精神卫生知识知晓率；调查患者治疗依从性、药物自我管理能力，应用圣路易社区生活技巧评估量表（ SLICLS-C）对患者日常生活情况进行评定。结果干预前（即点对点技术支持前）精神卫生基本知识的回答正确率为10.2%~93.9%，平均为53.1%；干预后的回答正确率为69.4%~100.0%，平均为95.2%；干预前后除在条目4、7、11、12、16上差异无统计学意义外，在其余条目上差异均有统计学意义（ P﹤0.05）。患者的依从性、药物自我管理能力均较干预前提高，差异有统计学意义（ P﹤0.05）；SLICLS-C评分中沟通能力评分较干预前提高，差异有统计学意义（ P﹤0.05）。结论建立精神专科医生与社区技术支持的长效机制，能有效提高社区精神卫生的综合服务能力。
목적：탐토정신과의생여사구건립적점대점정신위생기술지지대사구적간예효과。방법정신과의생진입사구점대점기술복무1년전후，수궤추취신향시성시、농촌각2개사구/향적49명사구의생화117명사구관리적정신분렬증환자，평고사구의생적정신위생지식지효솔；조사환자치료의종성、약물자아관리능력，응용골로역사구생활기교평고량표（ SLICLS-C）대환자일상생활정황진행평정。결과간예전（즉점대점기술지지전）정신위생기본지식적회답정학솔위10.2%~93.9%，평균위53.1%；간예후적회답정학솔위69.4%~100.0%，평균위95.2%；간예전후제재조목4、7、11、12、16상차이무통계학의의외，재기여조목상차이균유통계학의의（ P﹤0.05）。환자적의종성、약물자아관리능력균교간예전제고，차이유통계학의의（ P﹤0.05）；SLICLS-C평분중구통능력평분교간예전제고，차이유통계학의의（ P﹤0.05）。결론건립정신전과의생여사구기술지지적장효궤제，능유효제고사구정신위생적종합복무능력。
Objective To study the effect of point-to-point mental health technology support on community serv-ice. Methods One year after psychiatrists entered community to perform point to point technology service,49 community doctors and 117 schizophrenia patients under community management were randomly selected from two communities in Xinxiang:one from rural area,the other from urban area,and evaluated doctors' awareness rate of mental health knowledge and patients' treatment compliance as well as drug self-management ability. Daily life condition of the patients was assessed by St. Louis community liv-ing skills assessment scale(SLICLS-C). Results Before intervention,the rate of right answers to basic mental health knowl-edge was 10. 2% ~93. 9% with an average of 53. 1%. After intervention,the rate was 69. 4% ~ 100. 0% with an average of 95. 2%. The differences in other items except items 4,7,11,12 and 16 were significant(P﹤0. 05). Patients' compliance and drug self-management ability all had some improvement after intervention and the difference was significant( P﹤0. 05 ). The result of SLICLS - C showed that patients' communicating skill improved after intervention with statistical significance (P﹤0. 05). Conclusion The establishment of long-term mechanism of psychiatric doctors and technique support can effective-ly improve comprehensive service ability of community mental health.