CAJ | 학술논문

目的：探讨马斯洛管理模式的实施对住院慢性精神分裂症患者康复效果的影响。方法将80例住院慢性精神分裂患者随机分为两组，每组40例。两组均接受常规抗精神病药物治疗、常规护理及康复训练，研究组在此基础上采用马斯洛管理模式开展康复训练，观察3个月。于训练前后采用阴性症状量表、护士用住院病人观察量表及住院患者康复疗效评定量表评定康复效果。结果训练后两组阴性症状量表、住院患者康复疗效评定量表评分均较训练前显著下降（P＜0．01），研究组较对照组下降更显著（P＜0．05或0．01）；研究组训练1个月起护士用住院病人观察量表评分较训练前显著升高（P＜0．01），且显著高于对照组（P＜0．01）。结论马斯洛管理模式的实施有利于改善住院慢性精神分裂症患者的阴性症状，对提高患者社会适应能力，促进患者的全面康复具有积极作用。
목적：탐토마사락관리모식적실시대주원만성정신분렬증환자강복효과적영향。방법장80례주원만성정신분렬환자수궤분위량조，매조40례。량조균접수상규항정신병약물치료、상규호리급강복훈련，연구조재차기출상채용마사락관리모식개전강복훈련，관찰3개월。우훈련전후채용음성증상량표、호사용주원병인관찰량표급주원환자강복료효평정량표평정강복효과。결과훈련후량조음성증상량표、주원환자강복료효평정량표평분균교훈련전현저하강（P＜0．01），연구조교대조조하강경현저（P＜0．05혹0．01）；연구조훈련1개월기호사용주원병인관찰량표평분교훈련전현저승고（P＜0．01），차현저고우대조조（P＜0．01）。결론마사락관리모식적실시유리우개선주원만성정신분렬증환자적음성증상，대제고환자사회괄응능력，촉진환자적전면강복구유적겁작용。
Objective To explore the application of Maslow's management mode in rehabilitation training of hospitalized chronic schizophrenics .Methods Sixty chronic schizophrenics were randomly assigned to two groups of 40 ones each .Both groups received routine antipsychotic treatment ,routine nursing and rehabili‐tation training ,on this basis research group w as plus rehabilitation training according to M aslow's manage‐ment mode for 3 months .Rehabilitation outcomes were assessed with the Scale for the Assessment of Neg‐ative Symptoms (SANS) ,Nurses’ Observation Scale for Inpatient Evaluation (NOSIE) and Inpatient Psychiatric Rehabilitation Outcome Scale (IPROS) before and after treatment .Results After training the SANS and IPROS scores of both groups lowered more significantly compared with pretreatment (P<0 .01) ,so did those in research than in control group (P<0 .05 or 0 .01);the NOSIE score since the 1st month training in research group heightened more significantly compared with pretreatment (P<0 .01) ,so did those in research than in control group (P<0 .05 or 0 .01) .Conclusion The imple‐mentation of Maslow's management mode is beneficial to the improvement of negative symptoms of hospi‐talized chronic schizophrenics ,boost patients’ social adaptation ,and promote patients’ comprehensive re‐habilitation .