CAJ | 학술논문

目的：探讨内观疗法和行为疗法对精神分裂症患者近期服药依从性的影响。方法：161例住院的精神分裂症患者随机分为内观＋行为组（39例，住院时内观治疗，出院后行为治疗）、内观组（41例，住院时内观治疗）、行为组（37例，出院后行为治疗）及对照组（44例，无内观及行为治疗）；用药片计数法比较各组患者出院后12周服药依从性。结果：12周后服药完全依从、部分依从和不依从内观＋行为组分别为32例、4例、3例，内观组为18例、11例、12例，行为组为16例、12例、9例，对照组为6例、13例、25例；各组间差异有统计学意义（χ2＝43.50，P ﹤0.0001）；服药完全依从率内观＋行为组明显高于其他3组，内观组及行为组明显高于对照组（P 均﹤0.01）。结论：内观疗法和行为疗法均能提高患者的近期服药依从性，两者结合效果更佳。
목적：탐토내관요법화행위요법대정신분렬증환자근기복약의종성적영향。방법：161례주원적정신분렬증환자수궤분위내관＋행위조（39례，주원시내관치료，출원후행위치료）、내관조（41례，주원시내관치료）、행위조（37례，출원후행위치료）급대조조（44례，무내관급행위치료）；용약편계수법비교각조환자출원후12주복약의종성。결과：12주후복약완전의종、부분의종화불의종내관＋행위조분별위32례、4례、3례，내관조위18례、11례、12례，행위조위16례、12례、9례，대조조위6례、13례、25례；각조간차이유통계학의의（χ2＝43.50，P ﹤0.0001）；복약완전의종솔내관＋행위조명현고우기타3조，내관조급행위조명현고우대조조（P 균﹤0.01）。결론：내관요법화행위요법균능제고환자적근기복약의종성，량자결합효과경가。
To investigate the effect of Naikan therapy and behavioral therapy on recent medi-cation compliance in schizophrenic patients. Method:One hundred and sixty-one schizophrenic patients were randomly assigned into 4 groups:Naikan + behavioral therapy group(39 cases,treated with Naikan therapy in hospitalization and behavioral therapy after discharge),Naikan therapy group(41 cases,treated with Naikan therapy in hospitalization),behavioral therapy group(37 cases,treated with behavioral therapy after dis-charge),control group(44 cases,treated as usual). The medication adherence among the 4 groups was com-pared by pills counting method until 12 weeks after discharge. Results:After 12 weeks,the cases of full com-pliance,part of compliance and non compliance were 32,4 and 3 in Naikan + behavioral therapy group;18,11 and 12 in Naikan therapy group;16,12 and 9 in behavioral therapy group;6,13 and 25 in control group,re-spectively. The rates of fully compliance were significant difference among the 4 groups( χ2 = 43. 50,P ﹤0. 0001). The medication compliance rate in Naikan + behavioral therapy group was significantly higher than in other 3 groups;that in Naikan therapy group and behavioral therapy group were significantly higher than in con-trol group(all P ﹤ 0. 01) Conclusion:Either Naikan therapy or behavioral therapy can improve the recent medication compliance in schizophrenic patients. Combination of the two therapies can be better.