낮병원 사회재적응 프로그램이 정신분열병환자의 여가생활에 미치는 영향

Abstract

Objects : This study was carried out to analyze the influences of day hospital program upon leisure functioning(leisure life) of schizophrenic patients. Methods : The subject of this study was 36 schizophrenic patients who were discharged from the Kwan-ju Servrance Psychiatric Hospital, Yonsei University College of Medicine. The experimental group(18 patients) completed day hospital treatment with having intensive psychosocial rehabilitation program and the control group(18 patients) were only follow-up outpatient treatment after discharge. This study used the structured questionnaire to measure leisure functioning upon discharge. Three months after discharge, the same survey was : done to compare the two groups by pre-post experiment. The statistical analysis was performed by SPSS/PC. It used T-test to identify the difference between two group, and Multiple Regression to analyze the impact of independent variable on dependent variable(leisure functioning). Result : In baseline, no significant difference of leisure functioniong between two groups was not found. However, in the follow-up score which has earned after providing day hospital program for the experimental group and out-patient follow-up service for the control group for 3 months, some significant differences was found. Therefore it can be concluded that the leisure functioning of day hospital patients greatly improved than the other patients, while the leisure functionings of the two group were similar in the baseline. According to multiple regression, the number admission decreased the leisure functioning, the participation of day hospital program increased the leisure functioning. Conclusion : Improvement of leisure functioning through day hospital program was associated with functional skills in leisure activities, and it was also related to increase of opportunities to experience realistic situations, reinforcement of adjustment skills in other realms of life, and quality of life, all of which can promote the entire rehabilitation processes. Therefore, the result of this study can represent the usefulness of day hospital's program.