CAJ | 학술논문

目的:探讨社会生活技能训练在慢性精神分裂症患者康复中的作用. 方法:对40例慢性精神分裂症患者在药物治疗的基础上辅以社会生活技能训练,疗程3个月;采用阳性与阴性症状量表( PANSS)、个人与社会功能量表(PSP)、日常生活活动能力(ADL)量表(Barthel指数),进行训练前后的自身对照研究. 结果:训练后PANSS量表总分、阴性量表分、一般精神病理量表分均低于训练前,差异有统计学意义(t=5.58,6.46,7.71;P <0.01);训练后患者PSP量表对社会有益的活动、个人关系和社会关系、自我照顾能力、干扰与攻击行为4个主要领域的功能明显低于训练前(t=11.88,11.87,3.92,3.79;P<0.01);PSP总分、ADL(Barthel指数)与训练前比较,差异有统计学意义(t=-7.73,-12.31;P<0.01). 结论:社会生活技能训练,可以有效减少精神分裂症患者的阴性症状,同时提高患者的社会功能及日常生活能力,可以应用于慢性精神分裂症的康复治疗中.
목적:탐토사회생활기능훈련재만성정신분렬증환자강복중적작용. 방법:대40례만성정신분렬증환자재약물치료적기출상보이사회생활기능훈련,료정3개월;채용양성여음성증상량표( PANSS)、개인여사회공능량표(PSP)、일상생활활동능력(ADL)량표(Barthel지수),진행훈련전후적자신대조연구. 결과:훈련후PANSS량표총분、음성량표분、일반정신병리량표분균저우훈련전,차이유통계학의의(t=5.58,6.46,7.71;P <0.01);훈련후환자PSP량표대사회유익적활동、개인관계화사회관계、자아조고능력、간우여공격행위4개주요영역적공능명현저우훈련전(t=11.88,11.87,3.92,3.79;P<0.01);PSP총분、ADL(Barthel지수)여훈련전비교,차이유통계학의의(t=-7.73,-12.31;P<0.01). 결론:사회생활기능훈련,가이유효감소정신분렬증환자적음성증상,동시제고환자적사회공능급일상생활능력,가이응용우만성정신분렬증적강복치료중.
Objective:To explore the effect of social life skill training on the rehabilitation of chronic schizophrenia.Methods:All 40 cases of patients with chronic schizophrenia on the basis of drug therapy took social life skills training;Course of treatment lasted for3 months.Adopting Positive and Negative Syndrome Scale ( PANSS ) ,the Personal and Social Performance Scale ( PSP) and the Barthel index of daily life ability scale(ADL)to assess before and after the training.Results:After training,PANSS scale score, negative symptoms scale , general psychopathology scale were significantly different from that before the training,(t=5.58,6.46,7.71;P<0.01);After training,the four major functions of PSP scale:Benefi-cial to social activities,personal relations and social relations ,self-care ability,interference and aggres-sion were significantly lower than those before training ( t=11.88 ,11.87 ,3.92 ,3.79;P<0.01 );The to-tal score of Personal and Social Performance Scale ( PSP) and the Barthel index of daily life ability scale (ADL)were significantly different from those before training (t=-7.73,-12.31;P<0.01).Conclusion:Social life skills training can be applied in the rehabilitation treatment of chronic schizophrenia.