CAJ | 학술논문

目的：通过对门诊与住院治疗精神分裂症患者的病耻感评估，分析不同治疗环境对精神分裂症病耻感的影响。方法对浙江省立同德医院门诊和住院治疗的缓解期精神分裂症患者各70例进行人口学特征、精神病简明评定量表（BPRS）、PANSS量表、副反应量表、临床疗效总评量表严重度（CGI-SI）和病耻感量表进行测量和评估，比较门诊与住院患者缓解期病耻感特点。结果两组精神分裂症患者普遍存在被歧视、自我感觉的病耻感及对疾病的掩饰性，但经过住院治疗的患者对病耻感的掩饰性因子（2.01±0.88）分和积极效应因子（1.68±0.78）分低于门诊治疗的患者（2.43±0.98）和（2.44±0.78）分，差异均有统计学意义（P＜0.05）。结论门诊治疗对减轻耻感、提高生活质量相当重要。严格遵守和执行精神卫生法，可以较大限度地保护精神病患者的合法权益。
목적：통과대문진여주원치료정신분렬증환자적병치감평고，분석불동치료배경대정신분렬증병치감적영향。방법대절강성립동덕의원문진화주원치료적완해기정신분렬증환자각70례진행인구학특정、정신병간명평정량표（BPRS）、PANSS량표、부반응량표、림상료효총평량표엄중도（CGI-SI）화병치감량표진행측량화평고，비교문진여주원환자완해기병치감특점。결과량조정신분렬증환자보편존재피기시、자아감각적병치감급대질병적엄식성，단경과주원치료적환자대병치감적엄식성인자（2.01±0.88）분화적겁효응인자（1.68±0.78）분저우문진치료적환자（2.43±0.98）화（2.44±0.78）분，차이균유통계학의의（P＜0.05）。결론문진치료대감경치감、제고생활질량상당중요。엄격준수화집행정신위생법，가이교대한도지보호정신병환자적합법권익。
Objective To analyze the influence of different therapeutic environments on stigma of schizophrenia patients. Methods A total of 70 outpatients and 70 inpatients with schizophrenia in remission in Tongde hospital of Zhejiang province were enrolled and investigated by using Brief Psychiatric Rating Scale (BPRS),Positive and Negative Syndrome Scale (PANSS),Treatment Emergent Symptom Scale (TESS)and Clinician's Global Impressions-Severity of Illness Scale (CGI-SI).Results Both outpatients and inpatients had been discriminated and had the situation of stigma and disease concealing.After inpatient treatment,the scores of disease concealing factor and positive effect factor were 2.01 ±0.88 and 1.68 ±0.78 respectively,which were significantly lower than those of outpatients (2.43 ±0.98 and 2.44 ±0.78, respectively,P<0.05 ).Conclusion Outpatient treatment has the influence on reduce stigma and improve the life quality of schizophrenia patients in remission.