CAJ | 학술논문

目的：探讨团体家庭宣教对缓解期精神分裂症患者家庭功能及预后的影响。方法将80例恢复期首发精神分裂症患者随机分为两组，均予以常规抗精神病药物治疗及护理，研究组在此基础上联合团体家庭宣教，观察10周，随访6个月。采用简明精神病量表评定精神症状，自知力与治疗态度问卷、家庭亲密度与适应性量表评定自知力与治疗态度、家庭亲密度。结果宣教10周末研究组简明精神病量表评分显著低于对照组（ P＜0．01），自知力与治疗态度问卷评分显著高于对照组（P＜0．01），家庭亲密度与适应性量表的实际亲密度、实际适应性因子分显著高于对照组（P＜0．01），亲密度不满意度、适应性不满意度因子分显著低于对照组（P＜0．01）。随访6个月，研究组再住院率显著低于对照组（P＜0．05）。结论团体家庭宣教能巩固精神分裂症患者的治疗效果，改善自知力及治疗态度，提高家庭功能，降低复发风险。
목적：탐토단체가정선교대완해기정신분렬증환자가정공능급예후적영향。방법장80례회복기수발정신분렬증환자수궤분위량조，균여이상규항정신병약물치료급호리，연구조재차기출상연합단체가정선교，관찰10주，수방6개월。채용간명정신병량표평정정신증상，자지력여치료태도문권、가정친밀도여괄응성량표평정자지력여치료태도、가정친밀도。결과선교10주말연구조간명정신병량표평분현저저우대조조（ P＜0．01），자지력여치료태도문권평분현저고우대조조（P＜0．01），가정친밀도여괄응성량표적실제친밀도、실제괄응성인자분현저고우대조조（P＜0．01），친밀도불만의도、괄응성불만의도인자분현저저우대조조（P＜0．01）。수방6개월，연구조재주원솔현저저우대조조（P＜0．05）。결론단체가정선교능공고정신분렬증환자적치료효과，개선자지력급치료태도，제고가정공능，강저복발풍험。
Objective To explore the effect of group family education (GFE) on family functioning and prognosis of paracmasia first‐episode schizophrenic . Methods Eighty paracmasia first‐episode schizo‐phrenics were randomly assigned to two groups both receiving routine antipsychotic treatment and nursing , research group was plus GFE ,they were observed for 10 weeks and followed up for 6 months .Mental symptoms were assessed with the Brief Psychiatric Rating Scale (BPRS) ,insight and treatment attitudes with the Insight and Treatment Attitudes Questionnaire (ITAQ) ,and family cohesions with the Chinese version of Family Adaptability and Cohesion Scale ,Second Edition (FACESII‐CV) .Results After educa‐tion the BPRS score was significantly lower (P<0 .01) ,ITAQ higher (P<0 .01) ,real cohesion and a‐daptability of FACESII‐CV were higher (P< 0 .01) ,and dissatisfaction to cohesion and to adaptability lower (P<0 .01) in research than control group .During 6 month follow‐up re‐admission rate was signifi‐cantly lower in research than control group (P<0 .05) .Conclusion GFE could strengthen schizophrenic’ s therapeutic efficacy ,improve insight and treatment attitude ,raise family functioning ,and reduce relapse risk .