CAJ | 학술논문

目的：了解对首发精神分裂症患者实施保护性约束后家属的心理反应。方法：采用自编问卷对200例首发精神分裂症家属进行保护性约束心理反应进行调查。结果：74.00%的家属对患者接受保护性约束无心理准备,21.00%的家属持不理解态度；19.00%的家属认为保护性约束是不人道的,是在惩罚患者；37.00%的家属认为保护性约束会更刺激患者不健康的心理,会加重病情；17%的家属害怕患者受到意外伤害；36.00%的家属担心患者在保护期间基本生活得不到保障；79.50%的家属认为约束患者必须要征得家属同意。结论：保护性约束是精神科常用的一项行为治疗,但在对精神疾病患者进行保护性约束前要对患者或家属做到知情告知,严格掌握应用的适应证,规范操作流程,提高家属对保护性约束的认识并取得其理解,为患者提供有力的家庭支持。
목적：료해대수발정신분렬증환자실시보호성약속후가속적심리반응。방법：채용자편문권대200례수발정신분렬증가속진행보호성약속심리반응진행조사。결과：74.00%적가속대환자접수보호성약속무심리준비,21.00%적가속지불리해태도；19.00%적가속인위보호성약속시불인도적,시재징벌환자；37.00%적가속인위보호성약속회경자격환자불건강적심리,회가중병정；17%적가속해파환자수도의외상해；36.00%적가속담심환자재보호기간기본생활득불도보장；79.50%적가속인위약속환자필수요정득가속동의。결론：보호성약속시정신과상용적일항행위치료,단재대정신질병환자진행보호성약속전요대환자혹가속주도지정고지,엄격장악응용적괄응증,규범조작류정,제고가속대보호성약속적인식병취득기리해,위환자제공유력적가정지지。
To know what is the mental response from the families of first-episode schizophreniacs after the enforcer of the protective control. Methods:We made a self-compiled survey by questionnaire in the families of the 200 cases of first-episode schizophrenia inpatients on the protective con-trol. Results:74% of the families of the 200 cases had not any mental preparedness for the protective control. 21% of them held the not understanding atti-tude,19% of them thought the protective control was inhuman,and a punishment for the patients,37% of them worried about that the protective control would excite the patients′unhealthy feeling,therefore the state of the illness would get worse,17% of them were afraid that the protective control would in-jure the patients unexpectedly,36% of them were anxious about the patients′routine life without basic guarantee in the duration of the protective control,and 79. 5% of them held that it must be determined by the patients′family to do the protective control. Conclusion:The protective control is an often doing item in the treatment of the mental disease department, but before doing it,the patient and there family must be told. And when doing it,the medical staff should strictly master its indication,and standardize its technological process. Besides,we should deepen the knowledge and understanding of the patients′families about the protective control,in the result,the patients would posses the families′strong support.