CAJ | 학술논문

目的：探讨社区开放式康复训练对慢性精神分裂症患者生活质量的影响。方法选取2012年1月~2013年10月在北京市海淀区精神卫生防治院的社区“康复者之家”进行开放式康复训练的40名患者，分别在入组前和经过6个月的开放性复康复训练后，采用阳性和阴性症状量表(PANSS)、住院精神病人社会功能量表(SSPI)、生活质量综合评定问卷-74(成人用)(GQOLI-74)进行评定。结果40例患者经过6个月的社区开放式康复训练后，PANSS量表评分阳性症状、阴性症状及总分均显著低于入组时，差异有统计学意义(P<0.05)。 SSPI量表在日常生活能力、动作和交往情况、社会性活动技能3个因子方面都有明显的提高，差异有统计学意义(P<0.05)。 GQOLI-74量表在各维度上均有明显的提高和改善(P<0.05)。结论：外“康复者之家”的社区开放式康复训练对于慢性精神分裂症患者社会功能、生活质量具有明显的改善作用，值得在慢性精神分裂症患者中应用，适合临床推广。
목적：탐토사구개방식강복훈련대만성정신분렬증환자생활질량적영향。방법선취2012년1월~2013년10월재북경시해정구정신위생방치원적사구“강복자지가”진행개방식강복훈련적40명환자，분별재입조전화경과6개월적개방성복강복훈련후，채용양성화음성증상량표(PANSS)、주원정신병인사회공능량표(SSPI)、생활질량종합평정문권-74(성인용)(GQOLI-74)진행평정。결과40례환자경과6개월적사구개방식강복훈련후，PANSS량표평분양성증상、음성증상급총분균현저저우입조시，차이유통계학의의(P<0.05)。 SSPI량표재일상생활능력、동작화교왕정황、사회성활동기능3개인자방면도유명현적제고，차이유통계학의의(P<0.05)。 GQOLI-74량표재각유도상균유명현적제고화개선(P<0.05)。결론：외“강복자지가”적사구개방식강복훈련대우만성정신분렬증환자사회공능、생활질량구유명현적개선작용，치득재만성정신분렬증환자중응용，괄합림상추엄。
Objective To investigate the effect of community open rehabilitation training on life quality of patients with chronic schizophrenia. Methods 40 patients who took open rehabilitation training in community "home of convalescent patients" of Haidian Mental Health Prevention-Treatment Hospital from January 2012 to October 2013 were selected. After six months, the effect was valued and analyzed with positive and negative symptom scale (PANSS), scale of social function in psychosis inpatients (SSPI) and general quality of life inventory (GQOLI-74). Results After six months of open rehabilitation training, The positive, negative and total scores of PANSS were significantly lower than before reha-bilitation (P<0.05). The three factors were significantly enhanced than before rehabilitation about the activity of daily living, action, communication and sociality skill of SSPI (P<0.05). The each dimension of GQOLI-74 was significantly enhanced than before rehabilitation in 40 patients (P< 0.05). Conclusion The open rehabilitation training in "home of convalescent patients" is significant for patients to improve life quality and social function, it is worthy to use in reha-bilitation training of chronic schizophrenia patients, it can be widely used.