CAJ | 학술논문

目的：研究系列康复治疗对住院慢性稳定期精神分裂症患者的个人和社会功能的疗效。方法：将符合入组标准的120例住院慢性稳定期精神分裂症患者随机分为两组，干预组每周接受系列康复治疗2次，共治疗12周。在干预前、干预4周，干预8周及干预12周对2组患者分别采用个人和社会功能量表中文版（ PSP）及阳性和阴性症状量表（ PANSS）进行评估。结果：两组患者在康复治疗前量表及各项因子评分差异均无统计学意义（ P>0.05）；在康复治疗第8周至12周结束时，两组在扰乱及攻击行为的评分差异有显著的统计学意义（ P<0.05），精神症状因子评分差异存在统计学意义（ P<0.05）；系列康复治疗对干预组患者的治疗效果也存在随着时间变化的趋势，特别是个人关系和社会关系、自我照料、扰乱及攻击行为，以及精神症状的时间主效应存在统计学意义（ P均<0.01）。结论：系列康复治疗有助于改善住院慢性稳定期精神分裂症患者的个人和社会功能及残留的部分精神症状；其中，自我照料、扰乱及攻击行为和精神症状、阴性症状改善明显。
목적：연구계렬강복치료대주원만성은정기정신분렬증환자적개인화사회공능적료효。방법：장부합입조표준적120례주원만성은정기정신분렬증환자수궤분위량조，간예조매주접수계렬강복치료2차，공치료12주。재간예전、간예4주，간예8주급간예12주대2조환자분별채용개인화사회공능량표중문판（ PSP）급양성화음성증상량표（ PANSS）진행평고。결과：량조환자재강복치료전량표급각항인자평분차이균무통계학의의（ P>0.05）；재강복치료제8주지12주결속시，량조재우란급공격행위적평분차이유현저적통계학의의（ P<0.05），정신증상인자평분차이존재통계학의의（ P<0.05）；계렬강복치료대간예조환자적치료효과야존재수착시간변화적추세，특별시개인관계화사회관계、자아조료、우란급공격행위，이급정신증상적시간주효응존재통계학의의（ P균<0.01）。결론：계렬강복치료유조우개선주원만성은정기정신분렬증환자적개인화사회공능급잔류적부분정신증상；기중，자아조료、우란급공격행위화정신증상、음성증상개선명현。
Objective:To study on effect of series of rehabilitation treatment on inpatients with chronic stable schizophrenia in personal and social function. Method:120 hospitalized chronic schizophrenic patients which meeting the entry criteria were randomly divided into two groups,therapy group and control group. The therapy group received the series rehabilitation treatment for 2 times weekly,a total of 12 weeks,Before therapy, the therapy of 4 weeks,8 weeks and 12 weeks,the 2 groups of patients were evaluated with the PSP and the PANSS. Results:Before treatment,the two groups of patients’scale score was no significant difference( P>0. 05);Treatment for 8 to 12 weeks,there was significant difference in disturbing and aggressive behaviors(P<0. 05),and psychiatric symptom(P<0. 05);By series of rehabilitation therapy,scores were improved with time change trend. There were better than before treatment on personal and social relationships,self-care,disturbing and aggressive behaviors,and psychiatric symptoms(P<0.05). Conclusion:Series of rehabilitation treat-ment can improve part of the PSP function and the residue psychiatric symptom of inpatients with chronic stable schizophrenia,such as,self-care,disturbing and aggressive behaviors,psychiatric symptoms and negative symptoms.