CAJ | 학술논문

目的：探讨个案管理护理模式对精神分裂症患者生活质量、自知力和治疗态度的影响。方法：共入组精神分裂症患者55例，脱落8例。对入组患者实施个案管理护理模式并将这一护理模式延伸至社区，在入组时、出院时、出院后6个月、出院后12个月共4次分别用精神分裂症病人生活质量量表（SQLS）和自知力与治疗态度问卷（ITAQ)评定入组患者的生活质量以及自知力和治疗态度。结果：干预后自身对照，患者的生活质量以及自知力和治疗态度均有改善（P<0.01）；而在出院后6个月、12个月患者的生活质量，自知力和治疗态度都有不同程度的下降，出院后12个月下降更为明显。结论：实施个案管理护理模式可以有效地提高患者的生活质量，自知力和治疗态度，住院期间实施个案管理护理模式效果明显。
목적：탐토개안관리호리모식대정신분렬증환자생활질량、자지력화치료태도적영향。방법：공입조정신분렬증환자55례，탈락8례。대입조환자실시개안관리호리모식병장저일호리모식연신지사구，재입조시、출원시、출원후6개월、출원후12개월공4차분별용정신분렬증병인생활질량량표（SQLS）화자지력여치료태도문권（ITAQ)평정입조환자적생활질량이급자지력화치료태도。결과：간예후자신대조，환자적생활질량이급자지력화치료태도균유개선（P<0.01）；이재출원후6개월、12개월환자적생활질량，자지력화치료태도도유불동정도적하강，출원후12개월하강경위명현。결론：실시개안관리호리모식가이유효지제고환자적생활질량，자지력화치료태도，주원기간실시개안관리호리모식효과명현。
Objective:To explore the impact of case management nursing model on the quality of life, insight and treatment attitudes of schizophrenics. Methods:This study involved 55 schizophrenics in the beginning and 8 of which broke off in the middle. The case management nursing model was implemented on the aforesaid group and further elongated towards the living community. Schizophrenics were investigated with Schizophrenics Quality of Life Questionnaire (SQLS) and Insight and Treatment Attitude Questionnaire (ITAQ) at four different time spot, namely admission, discharge, 6 months after discharge and 12 months after discharge to examine the patients' quality of life and insight and treatment attitudes. Results:After intervention, the quality of life and insight and treatment attitudes of the patients were all improved (P<0.01) , while that of 6 months and 12 months after discharge have been decreased in different levels, especially in 12 months after discharge. Conclusion:The case management nursing model can effectively improve the quality of life, insight and treatment attitudes of the patients. The implementation of case management nursing model during hospital stay shows signiifcant effects.