CAJ | 학술논문

目的：探讨健康教育对康复期精神分裂症患者抑郁症状的疗效。方法将87例伴有抑郁症状的康复期精神分裂症患者随机分为研究组（接受有针对性的健康教育）和对照组（仅接受常规的精神科护理措施），共干预4周。于干预前及干预后第4周末采用抑郁自评量表（ SDS）、护士用住院病人观察量表（ NOSIE）和自知力与治疗态度问卷（ ITAQ）评定疗效。结果研究组患者干预后SDS、NOSIE中总积极因素评分和病情总估计分、ITAQ评分较干预前升高（ P＜0．05），NOSIE中总消极因素评分较干预前降低（P＜0．05）。干预后研究组NOSIE中总积极因素评分和病情总估计分、ITAQ评分高于对照组（P＜0．05），SDS、NOSIE中消极因素评分低于对照组（P＜0．05）。结论健康教育可有效改善康复期精神分裂症患者的抑郁症状。
목적：탐토건강교육대강복기정신분렬증환자억욱증상적료효。방법장87례반유억욱증상적강복기정신분렬증환자수궤분위연구조（접수유침대성적건강교육）화대조조（부접수상규적정신과호리조시），공간예4주。우간예전급간예후제4주말채용억욱자평량표（ SDS）、호사용주원병인관찰량표（ NOSIE）화자지력여치료태도문권（ ITAQ）평정료효。결과연구조환자간예후SDS、NOSIE중총적겁인소평분화병정총고계분、ITAQ평분교간예전승고（ P＜0．05），NOSIE중총소겁인소평분교간예전강저（P＜0．05）。간예후연구조NOSIE중총적겁인소평분화병정총고계분、ITAQ평분고우대조조（P＜0．05），SDS、NOSIE중소겁인소평분저우대조조（P＜0．05）。결론건강교육가유효개선강복기정신분렬증환자적억욱증상。
Objective To explore the effect of health education on depressive symptoms in schizophrenic patients in rehabilitationstage.Methods 87schizophrenicpatientswithdepressivesymptomsinrehabilitationstagewererandomlydivided into study group treated with targeted health education for 4 weeks and control group treated with routine psychiatric nursing for 4 weeks.Efficiency was assessed with Self-rating Depression Scale ( SDS ) , Nurses ’ Observation Scale for Inpatient Evaluation ( NOSIE) and Insight and Treatment Attitude Questionnaire ( ITAQ) at baseline and at the endpoint.Results Total scores of SDS, ITAQ, as well as positive factor score and condition assessment score in NOSIE at the endpoint in study group increased significantly compared with the baseline (P<0.05).Negative factor score in NOSIE at the endpoint in study group decreased significantly compared with the baseline (P<0.05).At the end of the 4-week treatment, total score of ITAQ, as well as positive factor score and condition assessment score in NOSIE in study group were significantly higher than those in control group ( P<0.05), while total score of SDS and negative factor score in NOSIE in study group were significantly lower than those in control group (P<0.05).Conclusion Health education can effectively improve depressive symptoms in patients with schizophrenia in rehabilitation stage.