CAJ | 학술논문

目的：探讨心理护理干预对首发精神分裂症患者暴力行为的影响,以更好地为首发精神分裂症患者进行治疗。方法：将60例患者随机分为干预组和对照组,每组各30例,干预组患者进行为期4周的心理护理干预。对照组患者不进行心理护理干预,只实行常规护理。运用修订版外显攻击行为量表( MOAS)对干预效果进行评定,并统计患者暴力行为的再次发生率。结果：两组患者干预后MOAS评分显著低于干预前,且MOAS下降分值干预组患者高于对照组；干预4周后干预组患者其住院期间共发生暴力行为9次,低于对照组14次,干预组患者暴力行为的发生率明显低于对照组(P<0.05,P<0.01)。结论：心理护理干预能减少首发精神分裂症患者暴力行为的发生,提高治疗效果。
목적：탐토심리호리간예대수발정신분렬증환자폭역행위적영향,이경호지위수발정신분렬증환자진행치료。방법：장60례환자수궤분위간예조화대조조,매조각30례,간예조환자진행위기4주적심리호리간예。대조조환자불진행심리호리간예,지실행상규호리。운용수정판외현공격행위량표( MOAS)대간예효과진행평정,병통계환자폭역행위적재차발생솔。결과：량조환자간예후MOAS평분현저저우간예전,차MOAS하강분치간예조환자고우대조조；간예4주후간예조환자기주원기간공발생폭역행위9차,저우대조조14차,간예조환자폭역행위적발생솔명현저우대조조(P<0.05,P<0.01)。결론：심리호리간예능감소수발정신분렬증환자폭역행위적발생,제고치료효과。
Objective:To investigate effects of psychological nursing intervention on violent behaviors of first-episode schizo-phrenic patients in order to better treat first episode schizophrenia. Methods:60 patients were randomly divided into intervention group (n=30) and control group (n=30). The patients in intervention group took psychological nursing intervention for 4 weeks, while those in control group only received routine care. The intervention effects were evaluated with modified overt aggression scale ( MOAS) , and the recurrence rate of the violent behaviors was statistically analyzed. Results:The MOAS scores after the intervention of the two groups were lower than those before the intervention, and the reduction of the MOAS score of intervention group was greater than that of control group. After the intervention, the times (n=9) of violent behaviors of intervention group were lower than those of control group (N=14), and the incidence rate of violent behaviors of intervention group was also lower than that of control group (P<0. 05, P<0. 01). Conclusions: Psychological nursing intervention can reduce the incidence of violent behavior of the first-episode schizophrenic patients, and improve the therapeutic effect.