CAJ | 학술논문

目的：在四川省麻风相对高流行区域成立麻风畸残者社区自我护理小组( Self-Care Group SCG),以社区为层面,从麻风畸残者自身角度出发,促进畸残康复和心理健康。方法 SCG小组定期集会召集成员开展自我护理,医务人员指导自我护理技巧,鼓励成员每天在家开展自我护理。采用描述性研究方法,使用访谈和问卷方式收集数据,SCL-90心理评分采用T检验分析。结果 SCG研究后1年,成员足底溃疡95%好转,50%溃疡痊愈,无新溃疡发生,外伤减少,手足干燥情况均改善,形成自我保护意识；SCG成员心理状态好转,尤其在人际关系敏感、焦虑和敌对情绪方面改善,差异有统计学意义(P<0．05)。结论 SCG以社区为基本层面,从麻风畸残者自身角度出发,共同促进畸残预防和心理健康。SCG应在四川省麻风畸残康复项目中推广应用。
목적：재사천성마풍상대고류행구역성립마풍기잔자사구자아호리소조( Self-Care Group SCG),이사구위층면,종마풍기잔자자신각도출발,촉진기잔강복화심리건강。방법 SCG소조정기집회소집성원개전자아호리,의무인원지도자아호리기교,고려성원매천재가개전자아호리。채용묘술성연구방법,사용방담화문권방식수집수거,SCL-90심리평분채용T검험분석。결과 SCG연구후1년,성원족저궤양95%호전,50%궤양전유,무신궤양발생,외상감소,수족간조정황균개선,형성자아보호의식；SCG성원심리상태호전,우기재인제관계민감、초필화활대정서방면개선,차이유통계학의의(P<0．05)。결론 SCG이사구위기본층면,종마풍기잔자자신각도출발,공동촉진기잔예방화심리건강。SCG응재사천성마풍기잔강복항목중추엄응용。
Objective To improve the physical and physiological rehabilitation of people affected by leprosy with Grade 2 Disabilities living in community,a pilot Self-Care Group( SCG) was organized in Jiange county,which is relatively high-endemic area in Sichuan province. SCG is based the community level,aims to enhance the initiatives of people affected by leprosy to practice self care everyday. Methods This is descriptive study,questionnaires about physical and psychological statues of members of SCG were undertaken,interviews were conducted to gain the opinions,and qualitative data was grouped according to frequently motioned and displayed in the table. Results 95% sole ulcers were gotten smaller,50% ulcers were cured,no new ulcer occurred,fewer in-juries happened,all dryness of hands and feet recovered. SCG participants increased the awareness to protect their eyes,hands and feet. The psychological condition was improved,especially on the interpersonal relationship,anxiety and hostility aspects. Conclu-sion SCG is based on the community level,it initiates people affected by leprosy with Grad 2 Disability to make self care everyday. The physical and psychological condition of SCG participants were improved,SCG should be applied in the rehabilitation program of leprosy in China.