CAJ | 학술논문

目的：探讨精神卫生综合干预对社区精神分裂症患者的康复作用。方法：将精神病患者日间康复照料机构中的89例精神分裂症康复期患者随机分为干预组和对照组；在接受常规社区精神卫生服务的同时，给予干预组精神卫生综合干预（健康教育、家庭治疗及技能程式训练）1年。分别在入组时、干预3、6、9及12个月进行阳性和阴性症状量表（PANSS）、康复状态量表（MRSS）和社会功能缺陷筛选量表（SDSS）评定。结果：PANSS 阴性症状分和一般病理分具有组间效应（F ＝2175.79；P ﹤0.001；F ＝4.74，P ﹤0.05）；两组 PANSS 总分、阴性症状分和一般病理分具有时间效应（ F ＝29.32、23.07、15.21，P 均﹤0.001）及交互作用（F ＝3.27，P ﹤0.05；F ＝6.06，P ﹤0.001；F ＝3.55，P ﹤0.01）。两组MRSS 总分、活动能力缺乏、社交能力、目前症状和异常行为评分具有时间效应（F ＝14.53、12.74、8.58、6.26；P 均﹤0.001）及交互作用（F ＝6.34，P ﹤0.001；F ＝2.47，P ﹤0.05；F ＝8.58，P ﹤0.001；F ＝2.88， P ﹤0.05）。两组 SDSS 评分具有时间效应和具有交互作用（F ＝10.69，F ＝5.19；P 均﹤0.001）。两组康复状况比较差异无统计学意义。结论：精神卫生综合干预对改善精神分裂症患者状况及提高社交技能方面优于常规社区精神卫生服务。
목적：탐토정신위생종합간예대사구정신분렬증환자적강복작용。방법：장정신병환자일간강복조료궤구중적89례정신분렬증강복기환자수궤분위간예조화대조조；재접수상규사구정신위생복무적동시，급여간예조정신위생종합간예（건강교육、가정치료급기능정식훈련）1년。분별재입조시、간예3、6、9급12개월진행양성화음성증상량표（PANSS）、강복상태량표（MRSS）화사회공능결함사선량표（SDSS）평정。결과：PANSS 음성증상분화일반병리분구유조간효응（F ＝2175.79；P ﹤0.001；F ＝4.74，P ﹤0.05）；량조 PANSS 총분、음성증상분화일반병리분구유시간효응（ F ＝29.32、23.07、15.21，P 균﹤0.001）급교호작용（F ＝3.27，P ﹤0.05；F ＝6.06，P ﹤0.001；F ＝3.55，P ﹤0.01）。량조MRSS 총분、활동능력결핍、사교능력、목전증상화이상행위평분구유시간효응（F ＝14.53、12.74、8.58、6.26；P 균﹤0.001）급교호작용（F ＝6.34，P ﹤0.001；F ＝2.47，P ﹤0.05；F ＝8.58，P ﹤0.001；F ＝2.88， P ﹤0.05）。량조 SDSS 평분구유시간효응화구유교호작용（F ＝10.69，F ＝5.19；P 균﹤0.001）。량조강복상황비교차이무통계학의의。결론：정신위생종합간예대개선정신분렬증환자상황급제고사교기능방면우우상규사구정신위생복무。
To explore the rehabilitation effect of comprehensive intervention of mental health in community patients with schizophrenia. Method:Eighty-nine schizophrenic patients in community were ran-domly divided into intervention group and control group. On the basis of conventional community mental health service,the intervention group received comprehensive intervention of mental health(including health education, family therapy and skills training program)for one year. The patients were assessed by positive and negative symptom scale(PANSS),momingside rehabilitation status scale(MRSS)and social disability screening schedule (SDSS)when join the group and 3,6,9 and 12 months after intervention,respectively. Results:There were group effects on PANSS negative symptom and general pathology(F =2175. 79;P ﹤ 0. 001;F = 4. 74,P ﹤ 0. 05). There were time effects on the PANSS total score,negative symptom score and general pathological score(F =29. 32,23. 07,15. 21;all P ﹤0. 001)and interactive effects(F =3. 27,P ﹤0. 05;F =6. 06,P ﹤0. 001;F =3. 55, P ﹤0. 01). There were time effects on MRSS total score,lack of activity ability,social ability,the symptoms,and abnormal behavior(F =14. 53,12. 74,8. 58,6. 26;all P ﹤ 0. 001)and interactive effects(F = 6. 34,P ﹤ 0. 001;F = 2. 47,P ﹤0. 05;F =8. 58,P ﹤0. 001;F =2. 88,P ﹤0. 05). There were time effects and interactive effects on SDSS score(F =10. 69,F = 5. 19;all P ﹤ 0. 001). The rehabilitation condition between the two groups was not significantly different. Conclusion:Comprehensive intervention of mental health for improving the illness condition and the social skills in patients with schizophrenia is better than the conventional community mental health service.