CAJ | 학술논문

目的：探讨行为训练对“三无”精神分裂症患者的康复效果。方法72例“三无”精神分裂症患者按入院顺序分为两组，对照组36例接受常规治疗及护理，研究组36例在此基础上进行行为训练。分别于训练前及训练后8周用护士住院患者观察量表（NOSIE）、精神病患者生存质量问卷（QOL-P）进行效果评定。结果训练前两组患者NOSIE、QOL-P评分差异无统计学意义（P＞0．05）。训练8周后，研究组患者NOSIE评分个人卫生（19．06±3．15）分、社会兴趣（16．89±2．64）分、社会能力（20．11±2．79）分，均高于对照组（14．44±2．71），（12．28±2．71），（13．67±2．22）分，激惹（12．00±3．28）分和退缩（8．61±2．78）分，均低于对照组（17．33±2．99），（14．00±2．53）分，两组比较差异有统计学意义（t分别为6．656，7．314，10．086，7．218，8．602；P＜0．01）；研究组QOL-P总分（54．58±8．77）分，低于对照组（77．78±5．49）分，两组比较差异有统计学意义（t＝13．443，P＜0．01）。结论行为训练有助于提高“三无”精神分裂症患者的生活及社会能力，对改善生活质量、促进疾病康复有积极作用。
목적：탐토행위훈련대“삼무”정신분렬증환자적강복효과。방법72례“삼무”정신분렬증환자안입원순서분위량조，대조조36례접수상규치료급호리，연구조36례재차기출상진행행위훈련。분별우훈련전급훈련후8주용호사주원환자관찰량표（NOSIE）、정신병환자생존질량문권（QOL-P）진행효과평정。결과훈련전량조환자NOSIE、QOL-P평분차이무통계학의의（P＞0．05）。훈련8주후，연구조환자NOSIE평분개인위생（19．06±3．15）분、사회흥취（16．89±2．64）분、사회능력（20．11±2．79）분，균고우대조조（14．44±2．71），（12．28±2．71），（13．67±2．22）분，격야（12．00±3．28）분화퇴축（8．61±2．78）분，균저우대조조（17．33±2．99），（14．00±2．53）분，량조비교차이유통계학의의（t분별위6．656，7．314，10．086，7．218，8．602；P＜0．01）；연구조QOL-P총분（54．58±8．77）분，저우대조조（77．78±5．49）분，량조비교차이유통계학의의（t＝13．443，P＜0．01）。결론행위훈련유조우제고“삼무”정신분렬증환자적생활급사회능력，대개선생활질량、촉진질병강복유적겁작용。
Objective To explore the effect of behavior training on the rehabilitation of homeless patients with schizophrenia .Methods Totals of 72 homeless patients with schizophrenia were randomly divided into study group and control group with 36 cases in each group .Both groups received the routine treatment and care, and the study group received behavior training in addition .The Nurse Observation Scale for Inpatient Evaluation(NOSIE)and the Quality of Life Questionnaire for Psychiatric patients (QOL-P)were used to evaluate the rehabilitation effectiveness before and 8 weeks after behavior training .Results There were no differences in NOSIE and QOL-P scores in patients before behavior training ( P >0.05 ).While 8 weeks after behavior training, NOSIE scores of personal hygiene (19.06 ±3.15),social interest (16.89 ±2.64) and social competence (20.11 ±2.79)in study group were higher than(14.44 ±2.71),(12.28 ±2.71),(13.67 ±2.22) in control group,and the differences were statistically significant (t=6.656,7.314,10.086,respectively;P<0.01).Irritation(12.00 ±3.28)and retardation(8.61 ±2.78)scores were significantly lower than (17.33 ± 2.99),(14.00 ±2.53)in control group(t=7.218,8.602,respectively;P<0.01).The total score of QOL-P (54.58 ±8.77) in study group was lower than (77.78 ±5.49) in control group,and the difference was statistically significant(t=13.443,P<0.01).Conclusions Behavior training helps to improve the life ability and social function of homeless patients with schizophrenia .It has a positive effect for enhancing the quality of life of patients and promoting the rehabilitation of the disease.