CAJ | 학술논문

目的：探讨程式化技能训练对社区精神分裂症患者的康复效果。方法：以社区精神分裂症患者180例为研究对象，随机分成对照组92例和干预组88例，由居委会工作人员为干预组进行程式技能训练6个月，采用简明精神病量表（ BPRS）、自知力与治疗态度问卷（ ITAQ）、个人与社会表现量表（ PSP），并统计复发率，评估训练前后对照组和干预组的康复效果差异。并且在结束1个月后把干预组88例再分成新的对照组48例和干预组40例，进行重复的程式训练以及量表评分，比较重复干预后的两组康复情况差异。结果：与对照组相比，第1次程式训练后，干预组的 BPRS 总分明显下降（ F =16.78），ITAQ评分提高（F=27.26），PSP评分提高（F=27.58）；经过第2次重复程式训练后，干预组各量表分与对照组相比差异仍有统计学意义，BPRS总分进一步下降（ F =4.02），ITAQ 评分提高（ F =5.88），PSP评分提高（F=4.64）。两次干预都结束时，对照组复发率（11.8%）要高于干预组（8.2%），但差异无统计学意义（ p﹥0.05）。结论：经过程式技能训练后，患者的精神症状能有显著的缓解，并且自知力得以提高，社会功能改善。
목적：탐토정식화기능훈련대사구정신분렬증환자적강복효과。방법：이사구정신분렬증환자180례위연구대상，수궤분성대조조92례화간예조88례，유거위회공작인원위간예조진행정식기능훈련6개월，채용간명정신병량표（ BPRS）、자지력여치료태도문권（ ITAQ）、개인여사회표현량표（ PSP），병통계복발솔，평고훈련전후대조조화간예조적강복효과차이。병차재결속1개월후파간예조88례재분성신적대조조48례화간예조40례，진행중복적정식훈련이급량표평분，비교중복간예후적량조강복정황차이。결과：여대조조상비，제1차정식훈련후，간예조적 BPRS 총분명현하강（ F =16.78），ITAQ평분제고（F=27.26），PSP평분제고（F=27.58）；경과제2차중복정식훈련후，간예조각량표분여대조조상비차이잉유통계학의의，BPRS총분진일보하강（ F =4.02），ITAQ 평분제고（ F =5.88），PSP평분제고（F=4.64）。량차간예도결속시，대조조복발솔（11.8%）요고우간예조（8.2%），단차이무통계학의의（ p﹥0.05）。결론：경과정식기능훈련후，환자적정신증상능유현저적완해，병차자지력득이제고，사회공능개선。
Objective:To explore the effects of programmed skill training in community on the recovery of patients with schizophrenia. Method:One hundred and eighty cases of schizophrenia patients in communi-ty were randomly divided into control group(n=88)and intervention group(n=92),and the committee staff conducted the programmed skill training. The brief psychiatric scale( BPRS),self-knowledge and treatment atti-tude questionnaire( ITAQ),personal and social performance scale( PSP)were administered to all patients. Re-currence rate was calculated and the rehabilitation effect was assessed after the training. At the end of a month training the intervention group was divided into new control group( n=48 )and new intervention group( n=40 ),the programmed skill training program was conducted again Results:Compared with control group,the in-tervention group showed BPRS score decrease(F=16. 78),ITAQ(F=27. 26)and PSP score increase(F=27. 58)after the first training. There were significant differences on the scale scores after the second training, the new intervention group demonstrated BPRS score drop(F=4. 02),ITAQ(F=5. 88)and PSP score rise (F=4. 64). Recurrence rate(11. 8%)of new control group was more than that(8. 2%)of new intervention group,but there was no significant difference(p﹥0. 05). Conclusion:Programmed skill training can relieve mental symptoms,improve self-knowledge and social function in patients with schizophrenia.