CAJ | 학술논문

目的：探讨义工服务对长期住院慢性精神分裂症患者康复的影响。方法将符合入组标准的60例精神分裂症患者随机分为两组，均在康复治疗部巧手工作坊接受康复训练，研究组在此基础上同时接受义工服务。观察6个月。采用住院精神病人康复疗效评定量表、日常生活能力量表评定康复效果。结果康复训练后两组各量表评分均较入组时显著改善（ P＜0．05或0．01），研究组较对照组改善更显著（ P＜0．05或0．01）。结论义工服务能显著促进长期住院慢性住院精神分裂症患者的临床康复，对改善患者的社会功能，提高生活质量具有积极作用。
목적：탐토의공복무대장기주원만성정신분렬증환자강복적영향。방법장부합입조표준적60례정신분렬증환자수궤분위량조，균재강복치료부교수공작방접수강복훈련，연구조재차기출상동시접수의공복무。관찰6개월。채용주원정신병인강복료효평정량표、일상생활능역량표평정강복효과。결과강복훈련후량조각량표평분균교입조시현저개선（ P＜0．05혹0．01），연구조교대조조개선경현저（ P＜0．05혹0．01）。결론의공복무능현저촉진장기주원만성주원정신분렬증환자적림상강복，대개선환자적사회공능，제고생활질량구유적겁작용。
Objective To explore the effect of volunteer service on rehabilitation of long hospitalized chro‐nic schizophrenia patients .Methods Sixty schizophrenics meeting inclusion criteria were randomly divided into two groups receiving rehabilitation training at dab hand workshop of rehabilitative treatment depart‐ment ,on this basis research group received volunteer service .They were observed for 6 months .Rehabili‐tation outcomes were assessed with the Inpatient Psychiatric Rehabilitation Outcome Scales (IPROS) and Activities of Daily Life Scale (ADL) .Results After rehabilitation training the IPROS and ADL scores of both groups improved more significantly (P<0 .05 or 0 .01) ,so did those in research than control group (P<0 .05 or 0 .01) .Conclusion Volunteer service could promote clinical rehabilitation of long hospital‐ized chronic schizophrenia patients and has active action on improving patients’ social function and raising quality of life .