CAJ | 학술논문

目的：探讨认知干预对慢性精神分裂症患者的作用。方法将83例慢性精神分裂症患者随机分为研究组和对照组，对照组使用常规的治疗护理，研究组应用认知行为干预对患者进行康复训练。两组同时使用用药态度量表(DAI)、精神护理观察量表(NOSIE)、精神分裂症病人生活质量量表(SQLS)和自知力与治疗态度问卷(ITAQ)对患者在入组时及出院时进行测评。结果研究组的自知力与态度、生活质量、用药态度及病情总估计分等两组比较具有统计学意义。结论对慢性精神分裂症病人进行认知行为干预，可改善患者的自知力、用药态度和治疗态度等，有助于缓解精神症状，提高患者的生活质量。
목적：탐토인지간예대만성정신분렬증환자적작용。방법장83례만성정신분렬증환자수궤분위연구조화대조조，대조조사용상규적치료호리，연구조응용인지행위간예대환자진행강복훈련。량조동시사용용약태도량표(DAI)、정신호리관찰량표(NOSIE)、정신분렬증병인생활질량량표(SQLS)화자지력여치료태도문권(ITAQ)대환자재입조시급출원시진행측평。결과연구조적자지력여태도、생활질량、용약태도급병정총고계분등량조비교구유통계학의의。결론대만성정신분렬증병인진행인지행위간예，가개선환자적자지력、용약태도화치료태도등，유조우완해정신증상，제고환자적생활질량。
Objective To explore the effect of cognitive intervention on patients with chronic schizophrenia. Methods 83 patients with chronic schizophrenia were randomly divided into two groups. 41 cases of control group received routine therapy and nursing, while 42 cases of research group received cognitive intervention for rehabilitation training. Both groups were evaluated at the time of admission and discharge by using drug attitude scale (DAI), nurses' observation scale for inpatient evaluation (NOSIE), schizophrenia quality of life scale (SQLS) and insight and treatment attitude questionnaire (ITAQ). Results There were statistical differences between two groups in insight and attitude, quality of life, medication attitudes and total estimates of disease. Conclusions For patients with chronic schizophrenia, cognitive intervention can improve patients' insight, attitudes of treatment and drug, relieve psychotic symptoms, and improve patients' quality of life.