논문 상세보기
pp.41-47
본 연구는 오감자극원예치료 프로그램이 정신분열병환자의 정신사회적기능 및 증상, 자기 효능감과 병식에 미치는 영향에 대하여 알아보고자 실시하였다. 대상은 대구시 달서구 신당동에 위치한 대구재활센터에서 정신분열병환자 중에 대조군10명, 실시군 10명으로 2006년 3월6일부터 2006년 6월26일까지 주 1회 총 17회기에 걸쳐 오감자극원예치료프로그램으로 실시하였다오감자극 원예치료의 정신사회적기능 평가결과 실시군은 일상생활수행기능 항목에서 사전 2.93에서 사후 3.55점으로 .62점이 높아졌고 .05수준의 유의차가 있었다. 자신과 타인과의 관계기능항목에서는 사전 2.52점에서 사후3.21점으로 .69점이 높아졌으며 전체적으로는 사전 2.73에서 사후 3.83점으로 1.10점이 높아져서 .001수준의 고도의 유의차를 보여서 오감자극 원예치료가 정신분열병환자의 사회로의 복귀에 중요한 요인인 정신사회적 기능에 영향이 큰 것으로 나타났다. 정신사회적증상 평가결과에서 실시군의 경우는 우울 및 불안, 충동 및 탐닉행동, 정신병적증상, 모든 하위항목에서 점수가 낮아졌고 특히 우울 및 불안항목은 .01수준의 고도의 유의차를 나타냈다. 자기효능감 평가결과에서 대조군과 실시군 모두 일반적인 효능감과 구체적인 효능감에서 점수가 높아지는 경향을 나타내었으나 유의차는 없는 것으로 나타났다. 이와 같이 본 연구에서 사회로의 복귀에 중요한 요인인 자기효능감의 점수가 높아졌지만 유의차가 나타나지 않은 것은 개인과 개인 간의 하위항목의 항목별 차이가 큰 변수로 생각되었고 원예치료가 정신분열병환자의 자기효능감에 영향을 미칠 수 있다는 가능성을 제시하고 있다.
The present study purposed to examine the effects of horticultural therapy stimulating the five senses on schizophreniacs’ psychosocial functions and symptoms, self‐efficacy and insight. The subjects of this study were 9 men and 1 woman in the control group and 7 men and 3 women in the experimental group who were hospitalized in Daegu Rehabilitation Center at Sindang‐dong, Dalseo‐gu, Daegu. The experiment was conducted from March 6 to June 26 in 2006. As to the necessity of this study, up to recently, treatment for schizophreniacs in hospital has been focused on easing the symptoms. For recovery from schizophrenia, not only the symptoms should be eased through medication, the patients’ functions should be enhanced so that they can perform their roles in society and they may not suffer social disadvantages and ultimately they return to society. This study used evaluation tools such as Korean version of behavior and symptom identification scale, self‐efficacy scale and insight scale, and referred to the observation and opinions of horticultural therapists and workers the institution. Measurement was made before and after the application of the horticultural therapy program, and the results were analyzed through paired t‐test. In the horticultural therapy stimulating the five senses, first, we used flowers and flowering plant of different colors in order to stimulate the sense of vision, and had the subjects touch and feel various types of soil, stone and materials to stimulate the sense of touch. We also had the subjects listen to the sounds of nature (wind, water, leaves, etc.) through outdoor activities in order to stimulate the sense of hearing, and used fragrant herbs, flowers and fruits to stimulate the sense of smell. In addition, we stimulated the sense of taste by having them taste various kinds of vegetable and fruit grown by themselves such as tomato, red pepper, apple, pear, orange and kiwi. When the horticultural therapy stimulating the five senses was applied, the control group did not show any significant difference as a whole, but the experimental group showed a significant difference in depression and anxiety among psychosocial functions and symptoms (p<.001), and in self‐efficacy (p<.10). However, no significant difference was observed in insight.The results of this study suggest that horticultural therapy stimulating the five senses is effective in easing schizophreniacs’ psychosocial functions and symptoms. In addition, a movable indoor garden installed at the entrance of the center appeared to improve the patients’ sense of accomplishment and confidence and have a positive effect on their interpersonal relations. Currently, 80% of the members participating in the horticultural therapy are working for pay at the workshop of the institution. This shows that the horticultural therapy program has a positive effect oschizophreniacs’ return to society. If more systematic horticultural therapy programs stimulating the five senses are developed and applied for the long run, they will be greatly effective in schizophreniacs’ social rehabilitation.
Ⅰ. 서언
Ⅱ. 재료 및 방법
Ⅲ. 결과 및 고찰
Ⅳ. 적요
인용문헌
