CAJ | 학술논문

目的探讨基于阳光心园的康复训练课程对社区精神分裂症患者康复及其生命质量的影响.方法采用随机数字表法随机将符合入组标准的168例精神分裂症患者分为干预组、对照组,分别为83例和85例.干预组进入阳光心园接受康复训练课程和家庭教育,为期6个月,对照组接受常规服务.两组均在干预前后采用自知力与治疗态度问卷(ITAQ)、阳性与阴性症状量表(PANSS)、个人和社会功能量表(PSP)和精神分裂症患者生命质量量表(SQLS)进行评估.结果干预前,两组的ITAQ、PANSS、PSP和SQLS量表评分比较差异无统计学意义(分别t=0.59,P=0.56;t=1.21,P=0.23;t=1.08,P=0.28;t=-1.41,P=0.16);干预后,干预组各项指标明显优于对照组,两组间差异具有统计学意义(分别t =3.07,P=0.03;t=-2.25,P=0.03;t=2.60,P=0.01;t=-3.24,P＜0.01).结论社区康复课程对促进社区精神分裂症患者的康复、提高其生命质量有较好作用.
목적 탐토기우양광심완적강복훈련과정대사구정신분렬증환자강복급기생명질량적영향.방법 채용수궤수자표법수궤장부합입조표준적168례정신분렬증환자분위간예조、대조조,분별위83례화85례.간예조진입양광심완접수강복훈련과정화가정교육,위기6개월,대조조접수상규복무.량조균재간예전후채용자지력여치료태도문권(ITAQ)、양성여음성증상량표(PANSS)、개인화사회공능량표(PSP)화정신분렬증환자생명질량량표(SQLS)진행평고.결과 간예전,량조적ITAQ、PANSS、PSP화SQLS량표평분비교차이무통계학의의(분별t=0.59,P=0.56;t=1.21,P=0.23;t=1.08,P=0.28;t=-1.41,P=0.16);간예후,간예조각항지표명현우우대조조,량조간차이구유통계학의의(분별t =3.07,P=0.03;t=-2.25,P=0.03;t=2.60,P=0.01;t=-3.24,P＜0.01).결론 사구강복과정대촉진사구정신분렬증환자적강복、제고기생명질량유교호작용.
Objective To evaluate the effects of institutional-based rehabilitation training on the rehabilitation and quality of life for patients with schizophrenia in community.Methods An institutionalbased rehabilitation program for schizophrenia patients "Sunny Garden" was implemented by Shanghai Mental Health Center.One hundred and sixty eight patients with schizophrenia were enrolled and randomly assigned into training group (n =83) and control group (n =85);8 patients dropped off,there were 80 cases in each group by the end of the study.Patients in training group received institutional-based training for 6 months,including rehabilitation training courses and family education;while patients in control group received conventional management in community.Insight and Treatment Attitude Questionnaire (ITAQ),Positive and negative symptom scale (PANSS),Personal and Social Performance scale (PSP) and Chinese Version of the Schizophrenia Quality of Life Scale (SQLS) were applied for assessment before and after study in both groups.Results There were no significant differences in ITAQ,PANSS,PSP and SQLS between two groups before intervention (t =0.59,P =0.56;t =1.21,P =0.23;t =1.08,P =0.28;t=-1.41,P=0.16,respectively).After intervention,these indicators in the training group were significantly superior to those in control group (t =3.07,P =0.03;t =-2.25,P =0.03;t =2.60,P =0.01;t =-3.24,P ＜ 0.01,respectively).Conclusion The institutional-based rehabilitation training program can effectively promote the rehabilitation of patients with schizophrenia in community and improve their quality of life.