CAJ | 학술논문

目的探讨以焦点解决模式为指导的社区健康教育对中青年首发精神分裂症患者康复的效果。方法将纳入社区管理的80名中青年首发精神分裂症患者按确诊时间随机分为对照组（n=40）和干预组（n=40），对照组采用社区随访法进行健康教育，干预组在此基础上以焦点解决模式为指导进行健康教育。分别于出院后6个月、12个月，应用简明精神病量表(BPRS)、社会功能缺陷筛选量表(SDSS）和康复状态量表(MRSS)对两组患者进行评估并比较两组复发率。结果（1）6个月后，两组患者各量表评分较出院时评分均降低显著（p＜0.05），两组患者组间比较差异无统计学意义（p＞0.05）。（2）12个月后，干预组患者各量表评分较出院时、出院后6个月的评分显著降低（p＜0.05）；组间比较，干预组各量表评分、复发率明显低于对照组患者（p＜0.05）。小结基于焦点解决模式的社区健康教育能够有效的促进中青年首发精神分裂症患者的康复，提高患者治疗依从性，减少复发。
목적탐토이초점해결모식위지도적사구건강교육대중청년수발정신분렬증환자강복적효과。방법장납입사구관리적80명중청년수발정신분렬증환자안학진시간수궤분위대조조（n=40）화간예조（n=40），대조조채용사구수방법진행건강교육，간예조재차기출상이초점해결모식위지도진행건강교육。분별우출원후6개월、12개월，응용간명정신병량표(BPRS)、사회공능결함사선량표(SDSS）화강복상태량표(MRSS)대량조환자진행평고병비교량조복발솔。결과（1）6개월후，량조환자각량표평분교출원시평분균강저현저（p＜0.05），량조환자조간비교차이무통계학의의（p＞0.05）。（2）12개월후，간예조환자각량표평분교출원시、출원후6개월적평분현저강저（p＜0.05）；조간비교，간예조각량표평분、복발솔명현저우대조조환자（p＜0.05）。소결기우초점해결모식적사구건강교육능구유효적촉진중청년수발정신분렬증환자적강복，제고환자치료의종성，감소복발。
Objective Discuss the effect of solution focused mode oriented community health education on the rehabilitation among young and middle-aged patients with first-episode schizophrenia. Method Divided 80 young and middle-aged patients with first-episode schizophrenia into treatment group (n=40) and control group (n=40) randomly based on their diagnosis date. Carried out health education with community follow-up visit method on patients in control group while treatment group received solution focused mode oriented community health education. Assessed the patients in two groups with BPRS, SDSS and MRSS and compared their recurrence rates in the 6th month and 12th month after discharging from hospital. Results①The scores of all scales in both groups significantly decreased after 6 months discharging from hospital (p<0.05). Comparison between groups was of no statistical significance (p>0.05). ②Scores of all scales of treatment group significantly decreased compared with that when discharging from hospital and 6 months later(p < 0.05). Comparison between groups showed that scores of all scales and recurrence rates for treatment group were lower than control group (p < 0.05). Conclusion Solution focused mode oriented community health education could effectively help with the rehabilitation among young and middle-aged patients with first-episode schizophrenia, improve their compliance and reduce recurrence.