CAJ | 학술논문

目的：研究准军事化管理模式对军队精神分裂症康复期患者述情障碍和社交能力的影响。方法将住院的87例军队慢性精神分裂症患者随机分为研究组和对照组，其中研究组45例，对照组42例。两组均予常规使用抗精神药物治疗和精神科常规护理，研究组在此基础上实施准军事化管理模式进行管理干预，时间为12周，并于干预前后应用多伦多述情障碍量表( TAS-26)和住院精神病人社会功能评定量表( SSPI )评估疗效。结果干预后，研究组TAS总分和各因子分均低于干预前(P＜0.01)，且低于对照组(P＜0.05)；SSPI总分及各因子分均高于干预前(P＜0.01)，且高于对照组(P＜0.05)，均差异有统计学意义。对照组干预前后TAS、SSPI总分及各因子分均无明显改变(P＞0.05)。结论准军事化管理模式能有效改善军队慢性精神分裂症患者述情障碍和社交能力。
목적：연구준군사화관리모식대군대정신분렬증강복기환자술정장애화사교능력적영향。방법장주원적87례군대만성정신분렬증환자수궤분위연구조화대조조，기중연구조45례，대조조42례。량조균여상규사용항정신약물치료화정신과상규호리，연구조재차기출상실시준군사화관리모식진행관리간예，시간위12주，병우간예전후응용다륜다술정장애량표( TAS-26)화주원정신병인사회공능평정량표( SSPI )평고료효。결과간예후，연구조TAS총분화각인자분균저우간예전(P＜0.01)，차저우대조조(P＜0.05)；SSPI총분급각인자분균고우간예전(P＜0.01)，차고우대조조(P＜0.05)，균차이유통계학의의。대조조간예전후TAS、SSPI총분급각인자분균무명현개변(P＞0.05)。결론준군사화관리모식능유효개선군대만성정신분렬증환자술정장애화사교능력。
Objective To study the influence of paramilitary management mode on alexithymia and sociability of military sufferers with schizophrenia in convalescence.Methods 87 military sufferers with schizophrenia hospitalized for convalescence were randomly divided into research group of 45 cases and control group of 42 cases.Both groups were given conventional antipsychotic drugs and routine nursing at psychiatric department,while the research group were given additional management intervention of paramilitary management mode,for 12 weeks.TAS-26 and SSPI for hospitalized patients were adopted to evaluate the curative effects before and after the intervention .Results After the intervention ,the TAS total score and each factor score of the research group were low er than those before the interven-tion(P<0.01),and also low er than those in the control group(P<0.05);The SSPI total score and each factor score of the research group were higher than those before the intervention (P<0 . 01 ),and also higher than those in the con-trol group(P<0.05),all with differences of statistical significance.The total scores of TA S and SSPI and each factor score of the control group before and after the intervention show ed no clear changes(P>0.05).Conclusion Paramili-tary management mode can effectively improve the alexithymia and sociability of military sufferers with chronic schizophrenia.