정신장애인을 위한 약물, 증상 관리교육 프로그램의 효과연구
The efficacy of medication and symptom management education for persons with mental disorder
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본 연구는 약물/증상관리교육 프로그램이 만성정신장애인들에게 어떤 영향을 미치는지에 대해 알아보았다. 참여자는 모두 21명(실험집단 10명, 통제집단 11명)이었다. 프로그램은 실험집단을 대상으로 일주일에 두 번,총 19회기를 진행하였으며, 6개월 후 추수검사를 하였다. 결과 첫째, 교육이 지식척도의 전체점수 및 병의 특징, 증상, 약물관리에 대한 지식에 긍정적인 영향을 미치는 것으로 나타났다. 둘째, 간이정신진단검사에서 실험집단이 통제집단에 비해 증상이 감소하는 경향을 보였고, 특히 강박증상과 불안증상, 공포증상이 유의하게 감소하였다. 셋째, 변화에 대한 개인의 준비도를 알아본 결과, 교육이 숙고단계와 유지단계 수준을 상승시켜 주었다. 또한 통제집단은 시간이 지남에 따라 숙고전 단계에 속하는 인원수가 많아진 반면 실험집단은 행동단계에 속하는 인원수가 증가되었다. 이 결과는 교육이 변화준비도를 상승시키며, 더하여 준비도가 부정적으로 진행되는 것을 막아준다는 것을 시사한다. 끝으로 임상현장에서 제공되어야 할 약물/증상 교육 서비스에 대해 제언하였다.
Abstract
This study investigated the impacts of medication/symptom management education program on persons with psychiatric disorder. Participants for the study were 21 clients with chronic mental illness(the experimental group 10, a control group with no treatment 11). Psychoeducation program were administered two times weekly, total 19 sessions and tested pre, post, and 6 months after. The results showed that first, clients assigned to psychoeducation program had more favorable knowledge scores than controls in feature of mental illness, medication and symptom management test. Second, the experimental group also showed lowered tendency on total SCL 90-R scores than the control group, significantly being reduced in obsessive- compulsiveness, anxiety and phobic symptom. Third, the monitoring change readiness revealed that education gained both contemplation stage and maintenance stage scores. And in the number of person in stages over time, while the number of person within a precontemplation stage increased in controls, persons within a action stage increased in experimentals. It implies that psychoeducation program develops change readiness and also keeps clients from retrogressing themselves into lower stages of change readiness. Finally suggestions about medication/symptom education service delivered in clinical practice were discussed.
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