Stroke induces neuro-psychiatric symptoms as well as neural disorders. In oriental medical treatment of stroke, these neuro-psychiatric symptoms and motor․sensory nerve disorders are major and important points of differentiation of syndromes and major therapeutic aim for stroke patients. For looking at changes of neuro-psychiatric symptoms in stroke patients, we devided stroke patients into two groups by time after attack; group in 4 weeks (Group A) after attack, group more than 5 weeks (Group B). We examined them with SCL-90-R(Symptoms Check List-90-R), one of neuro-psy -chiatric examination tools, then the results as follows; In group A, phobic Anxiety was most high, and phobia anxiety, anxiety, psychoticism, hostility, depression, obsessive-compulsive, paranoid ideation and interpersonal sensitivity were located by score. In group B, phobic anxiety was most high, and depression, somatization, anxiety, psychoticism, interpersonal sensitivity, obsessive-compulsive, hostility, paranoid ideation were located by score. We recognized that all indexes of Group B including global severity index(GSI), positive symptom total(PST) and positive symptom distress index(PSDI) were higher than those of Group A. We suggest that the aim of treatment about stroke patients be made by considering changes of neuro-psychological symptoms.

본 연구는 원예치료프로그램이 정신분열병 환자의 혈압, 맥박 및 정서안정에 미치는 영향에 대하여 알아보고자 실시하였다. 대구광역시 남구 대명동에 위치한 남구정신보건센터를 이용하고 있는 정신분열병 남녀 7명을 대상으로 2002년 7월 9일부터 2002년 10월 1일까지 3개월간 주1회 총 12회 원예치료프로그램을 실시하였다. 매 프로그램 실시 전․후에 혈압, 맥박을 측정한 결과 수축기혈압의 경우 원예치료 실시 전 91.5에서 실시 후 87.04로 낮아졌으며 0.10수준의 차이가 있었다. 확장기혈압의 경우 원예치료 실시 전 69.49에서 실시 후 65.27로 4.22로 낮아졌으며 0.05수준의 차이가 있었다. 맥박의 경우도 혈압과 마찬가지로 원예치료 실시 전 81.79에서 실시 후 78.72로 3.07 낮아졌으며 0.10수준으로 차이가 있었다. 간이정신진단검사 결과 신체화의 경우 원예치료 실시 전 51.55에서 실시 후 42.18로 9.37 낮아졌으며 0.10수준으로 개선되었다. 원예치료평가표(KHY)의 경우 정서적 발달, 사회적 발달 모든 항목에서 0.05 수준의 유의한 차이가 있었다. 특히 정서적 발달에서는 활동의욕, 충동억제, 집중력, 자주성, 성취감, 작업태도에서 높게 나타났으며, 사회적 발달에서는 도덕성과 협조성, 참여도에서 높게 나타났다. 이상의 결과로부터 원예치료가 혈압, 맥박 및 정서적 안정에 영향을 미치는 것으로 나타났다. 향후 대상 자에게 적합한 프로그램으로 체계적이고 지속적인 원예치료를 적용한다면 정신분열병 환자의 증상감소 및 정서적 안정은 물론 사회적 기능면에서도 크게 향상될 것이라 기대한다.

This experiment compared and analyzed the Oriental and Western flower arrangement programs to examine the effect of horticultural therapy program on mental symptoms of schizophrenics. This study respectively executed the Oriental and Western flower arrangement to 20 men and women patients of schizophrenia and bipolar who have been treated for their rehabilitation in the Daegu Rehabilitation Center at Sindang-dong, Dalso-gu, Daegu Metropolitan City by 12 times program from April 16, 2002 to July 23, 2002. this study investigated and tested the effectiveness by SCL-90-R and Self-Esteem Scale with diagnosing them by horticultural therapy evaluation table (KHY type) after having enforced each program. This study made them choose their favorite color whenever executing each program, and investigated their preference of flower color. In result of SCL-90-R on the Oriental arrangement, they showed their mental symptom to be worsen after the execution than before the execution of the program, but there wasn't any significant difference. However in the case of the Western flower arrangement their mental symptom appeared to be improved. In result of Self-Esteem Scale, it appeared to be higher in all of the Oriental and Western flower arrangement after the execution than before the execution of horticultural therapy program, but there wasn't ant significant difference. On the horticultural therapy evaluation table, they showed a significant development(p=0.05) in emotional improvement and social improvement by all the Oriental and Western flower arrangement , Especially the improvement of the Western flower arrangement appeared to be higher in emotional improvement such as activity, integration control, independence, and solitary than the Oriental flower arrangement (p=0.01). The improvement of the Western flower arrangement appeared to be higher also in social improvement such as sociality, cooperativeness, and participation than the Oriental flower arrangement (p=0.01). In result of investigating their preference of flower color, they appeared to prefer the generally bright and clear colors in the order of red, dark pastel , yellow, white, violet, and light pastel through the Oriental and Western flower arrangement, In the above result of consideration, the Oriental and Western flower arrangement had the effect to restoration of emotion and sociality of schizophrenics, but the Western flower arrangement on is considered to be more desirable as flower arrangement for schizophrenics than the Oriental flower arrangement.