CAJ | 학술논문

目的：探讨多专业团队（精神科医生、护士、心理咨询师、康复治疗师、社工）介入农疗训练对慢性精神分裂症患者康复疗效的影响。方法选取2010年8月～2013年7月期间先后在我院接受农疗训练的精神分裂症患者共80例并随机分为两组。其中对照组40例，除维持原有的药物治疗、生活护理及健康宣教外，予以农疗训练；研究组40例，除维持原有的药物治疗、生活护理及健康宣教外，予以多专业团队介入的农疗训练。用住院精神患者康复疗效量表（IPROS）对两组患者分别进行入组前及入组半年后评估。结果入组后半年，两组IPROS总分及五项因子分均有明显改善；研究组IPROS总分及五项因子分明显低于于对照组，差异有统计学意义。结论多专业团队介入农疗训练对慢性精神分裂症患者康复疗效显著，应大力推广。
목적：탐토다전업단대（정신과의생、호사、심리자순사、강복치료사、사공）개입농료훈련대만성정신분렬증환자강복료효적영향。방법선취2010년8월～2013년7월기간선후재아원접수농료훈련적정신분렬증환자공80례병수궤분위량조。기중대조조40례，제유지원유적약물치료、생활호리급건강선교외，여이농료훈련；연구조40례，제유지원유적약물치료、생활호리급건강선교외，여이다전업단대개입적농료훈련。용주원정신환자강복료효량표（IPROS）대량조환자분별진행입조전급입조반년후평고。결과입조후반년，량조IPROS총분급오항인자분균유명현개선；연구조IPROS총분급오항인자분명현저우우대조조，차이유통계학의의。결론다전업단대개입농료훈련대만성정신분렬증환자강복료효현저，응대력추엄。
Objective To explore the effect of multi-disciplinary team(including psychiatrists, nurses, psychologists, counselors, rehabilitation therapists, social workers) involved agricultural skills training on rehabilitation in chronic schizophrenic patients.Methods A total of 80 patients with chronic schizophrenic recruited in our hospital from August 2010 to July 2013 were randomly divided into two groups. Drug treatment, life care, health education and farming training had been applied for two groups. The control group received agricultural skills training. The research group also received multi-disciplinary team involved agricultural skills training. Inpatient psychiatric rehabilitation outcome scale(IPROS) had been used for two groups to evaluate the effects of rehabilitation at base line and up to 6 months. Results Up to 6 months, IPROS total score and its five factors were decreased in both two groups; IPROS total score and its five factors were significantly lower in the multi-disciplinary team involved agricultural skills training group.Conclusion Multi-professional team involved agricultural skills training showed significant positive effects on rehabilitation in patients with chronic schizophrenia. It should be widely used for those patients.