CAJ | 학술논문

[目的]探讨小组社交技能训练对住院慢性精神分裂症病人康复的作用。[方法]将符合国际疾病分类 ICD 10中精神分裂症诊断标准的80例住院慢性精神分裂症病人随机分为研究组和对照组，对照组采用常规的药物治疗及护理，研究组在药物治疗及护理的基础上给予12周小组社交技能训练。采用阳性与阴性症状量表、住院慢性精神分裂症社会功能评定量表、住院精神病人康复疗效评定量表在病人训练前、训练4周末、训练8周末、训练12周末对两组病人进行评分并比较。[结果]小组社交技能训练至8周末时开始初见成效，至12周末PANSS量表评分、SSSI量表社会功能缺陷级别及IPROS量表评分比较差异有统计学意义(P<0.05)。[结论]在药物治疗及护理的基础上对住院慢性精神分裂症病人进行小组社交技能训练并实施代币强化行为疗法，能够改善病人的社交技能缺陷及社会功能缺陷，改善其阴性症状，提高康复疗效，有助于住院慢性精神分裂症病人精神康复。
[목적]탐토소조사교기능훈련대주원만성정신분렬증병인강복적작용。[방법]장부합국제질병분류 ICD 10중정신분렬증진단표준적80례주원만성정신분렬증병인수궤분위연구조화대조조，대조조채용상규적약물치료급호리，연구조재약물치료급호리적기출상급여12주소조사교기능훈련。채용양성여음성증상량표、주원만성정신분렬증사회공능평정량표、주원정신병인강복료효평정량표재병인훈련전、훈련4주말、훈련8주말、훈련12주말대량조병인진행평분병비교。[결과]소조사교기능훈련지8주말시개시초견성효，지12주말PANSS량표평분、SSSI량표사회공능결함급별급IPROS량표평분비교차이유통계학의의(P<0.05)。[결론]재약물치료급호리적기출상대주원만성정신분렬증병인진행소조사교기능훈련병실시대폐강화행위요법，능구개선병인적사교기능결함급사회공능결함，개선기음성증상，제고강복료효，유조우주원만성정신분렬증병인정신강복。
Objective:To probe into the effect of group social skills training on rehabilitation of inpatients with chronic schizophrenia.Methods:A total of 80 cases of inpatients with chronic schizophrenia in line with the di-agnostic criteria of schizophrenia in international classification of diseases ICD 10 were randomly divided into study group and control group.The patients in control group adopted the routine drug treatment and care,the patients in study group were given group social skills training for 1 2 weeks on the basis of drug treatment and care.Before training,at the end of 4th week,at the end of 8th weekend ,at the end of 12th week,two groups of patients were assessed and compared by using positive and negative symptom scale,inpatients with chronic schizophrenia social functional assessment scale and rehabilitation effect rating scale of psychiatric inpatients. Results:Group social skills training achieved initial success at the end of 8th week.At the end of 12th week, there was statistically significant difference in PANSS score,the social function defect level of SSSI scale and IPROS score (P<0.05).Conclusion:On the basis of drug treatment and care,inpatients with chronic schizo-phrenia accepted group social skills training and the token reinforcement behavior therapy was carried out for them,it can improve the social skill defects and social function defects of patients,improve the negative symp-toms,enhance the curative effect of rehabilitation,contribute to the psychiatric rehabilitation of chronic schizo-phrenia inpatients.