CAJ | 학술논문

目的探讨合理情绪疗法对精神分裂症患者社会功能及心理状态的影响.方法按住院先后顺序将86例恢复期精神分裂症患者分为研究组和对照组,对照组进行常规治疗、护理及健康教育,研究组在此基础上进行合理情绪疗法干预.采用症状自评量表、社会功能缺陷筛选量表、服药依从性分别进行效果评价.结果干预前两组患者的症状自评量表(SCL-90)评分差异无统计学意义(P＞0.05);10周后SCL-90各因子分除偏执、精神病性两因子外其余各因子研究组均低于对照组,差异有统计学意义(P ＜0.05或P＜0.01);研究组患者SDSS各因子分低于对照组,差异有统计学意义(P＜0.01).患者的服药依从性研究组明显好于对照组(P＜0.01).结论合理情绪疗法可帮助精神分裂症患者提高服药依从性及心理健康水平,改善精神分裂症患者的社会功能.
목적 탐토합리정서요법대정신분렬증환자사회공능급심리상태적영향.방법 안주원선후순서장86례회복기정신분렬증환자분위연구조화대조조,대조조진행상규치료、호리급건강교육,연구조재차기출상진행합리정서요법간예.채용증상자평량표、사회공능결함사선량표、복약의종성분별진행효과평개.결과 간예전량조환자적증상자평량표(SCL-90)평분차이무통계학의의(P＞0.05);10주후SCL-90각인자분제편집、정신병성량인자외기여각인자연구조균저우대조조,차이유통계학의의(P ＜0.05혹P＜0.01);연구조환자SDSS각인자분저우대조조,차이유통계학의의(P＜0.01).환자적복약의종성연구조명현호우대조조(P＜0.01).결론 합리정서요법가방조정신분렬증환자제고복약의종성급심리건강수평,개선정신분렬증환자적사회공능.
Objective To investigate the effect of rational-emotive therapy on social function and psychological state of schizophrenia patients.Methods According to the order in hospital,86 patients with convalescent schizophrenia were divided into the study group and the control group.The control group was given conventional treatment,nursing and health education.The study group adopted rational-emotive therapy intervention.Symptom rating scale,Social Disability Screening Scale and medication compliance were used to evaluate the effects respectively.Results Before the intervention,two groups of patients with symptom checklist (SCL-90) score difference didnt have statistical significance (P ＞0.05) ; After 10 weeks,SCL-90 scores of all factors in study group were lower than those in the control group in addition to paranoia,psychosis factor.The difference was significant (P ＜ 0.05 or P ＜ 0.01) ; SDDS factor scores in study group were lower than those in the control group.The difference was significant (P ＜ 0.01).Medication compliance in the study group was significantly better than that in the control group (P ＜ 0.01).Conclusions Rational-emotive therapy can help schizophrenia patients improve medication compliance,the level of mental health and the social function of schizophrenia patients.