[국내논문]만성정신분열증 환자를 대상으로 한 원예치료의 프로그램별 효과성 비교 Comparison of the Effectiveness of Different Horticultural Therapy Programs for Individuals with Chronic Schizophrenia
본 연구에서는 원예치료 프로그램별 효과성을 알아보기 위하여 음성꽃동네 만성정신분열증 환자를 대상으로 치료군 36명(실외 13명, 실내 12명, 생화 11명)을 대상으로 프로그램을 실외원예활동, 실내용기재배, 실내화훼장식 3부분으로 나눠 주 1회씩 6개월동안 프로그램을 실시하였다. 한편, 대조군은 원예치료를 받지 않는 10명을 선정하였으며, 다른 활동은 동일하였고 치료군이 원예치료 프로그램을 실시할 때는 일상생활을 하도록 했다. 원예치료효과검정을 위해 인간관계측정지(Interpersonal relationship changescale), 자아존중감척도(Self-esteem scale), 사회생활기술척도(Social skill scale), 무력감 측정도구(Powerlessness scale) 등을 치료 전․중․후로 시행하여 비교하였다. 결과에 따르면, 대조군에서는 어떤 부분에서도 유의한 차이를 나타내지 않았다. 실외원예활동 원예치료군에서는 인간관계(P<0.002), 자아존중감(P<0.005), 그리고 사회생활기술(P<0.019)이 유의하게 향상된 반면, 실내용기재배 원예치료군에서는 인간관계(P<0.002)만 유의하게 향상되었다. 한편, 실내화훼장식 원예치료군은 무력감(P<0.001)과 사회생활기술(P<0.020)이 매우 유의하게 향상되었다. 본 실험의 결과로 각 프로그램별 독특성과 효과성이 인정되었으며, 차후 보다 전문적인 원예치료를 위해서는 치료목표에 부합하여 적절한 프로그램을 작성하는 것이 중요하다고 판단된다.
본 연구에서는 원예치료 프로그램별 효과성을 알아보기 위하여 음성꽃동네 만성정신분열증 환자를 대상으로 치료군 36명(실외 13명, 실내 12명, 생화 11명)을 대상으로 프로그램을 실외원예활동, 실내용기재배, 실내화훼장식 3부분으로 나눠 주 1회씩 6개월동안 프로그램을 실시하였다. 한편, 대조군은 원예치료를 받지 않는 10명을 선정하였으며, 다른 활동은 동일하였고 치료군이 원예치료 프로그램을 실시할 때는 일상생활을 하도록 했다. 원예치료효과검정을 위해 인간관계측정지(Interpersonal relationship changescale), 자아존중감척도(Self-esteem scale), 사회생활기술척도(Social skill scale), 무력감 측정도구(Powerlessness scale) 등을 치료 전․중․후로 시행하여 비교하였다. 결과에 따르면, 대조군에서는 어떤 부분에서도 유의한 차이를 나타내지 않았다. 실외원예활동 원예치료군에서는 인간관계(P<0.002), 자아존중감(P<0.005), 그리고 사회생활기술(P<0.019)이 유의하게 향상된 반면, 실내용기재배 원예치료군에서는 인간관계(P<0.002)만 유의하게 향상되었다. 한편, 실내화훼장식 원예치료군은 무력감(P<0.001)과 사회생활기술(P<0.020)이 매우 유의하게 향상되었다. 본 실험의 결과로 각 프로그램별 독특성과 효과성이 인정되었으며, 차후 보다 전문적인 원예치료를 위해서는 치료목표에 부합하여 적절한 프로그램을 작성하는 것이 중요하다고 판단된다.
This study was conducted to compare the effectiveness of different horticultural therapy (HT) programs for individuals with chronic schizophrenia in a social welfare center, Umsung Country, Chungbuk Province. For this experiment, 36 patients as a activity group were participated in three different h...
This study was conducted to compare the effectiveness of different horticultural therapy (HT) programs for individuals with chronic schizophrenia in a social welfare center, Umsung Country, Chungbuk Province. For this experiment, 36 patients as a activity group were participated in three different horticultural therapy programs (13 for field gardening group, 12 for indoor container culture group, and 11 for indoor flower design group), whereas another 10 patients were chosen as a control group without any structured activities. HT programs were performed once a week for six months. For evaluation, interpersonal relationship change scale, self-esteem scale, social skill scale, and powerlessness scale were applied 3 times, that is, before, mid, and after HT programs. According to the results, there was no significant improvement in all scales in the control group throughout activities. On the other hand, there was significant improvement in interpersonal relationship change (P<0.002), self-esteem (P<0.005), and social skill (P<0.019) in field gardening activity group whereas there was only significant improvement in interpersonal relationship (P<0.002) in indoor container culture group. Finally, in indoor flower design group in which they used only fresh flowers and plants during their activity, there was significant improvement in social skill (P<0.020) and reduction in powerlessness (P<0.001). In conclusion, it was found that each program had their own unique characteristics and, therefore, it is very important to draw up the programs in accordance with therapeutic goal for the better specialized HT.
This study was conducted to compare the effectiveness of different horticultural therapy (HT) programs for individuals with chronic schizophrenia in a social welfare center, Umsung Country, Chungbuk Province. For this experiment, 36 patients as a activity group were participated in three different horticultural therapy programs (13 for field gardening group, 12 for indoor container culture group, and 11 for indoor flower design group), whereas another 10 patients were chosen as a control group without any structured activities. HT programs were performed once a week for six months. For evaluation, interpersonal relationship change scale, self-esteem scale, social skill scale, and powerlessness scale were applied 3 times, that is, before, mid, and after HT programs. According to the results, there was no significant improvement in all scales in the control group throughout activities. On the other hand, there was significant improvement in interpersonal relationship change (P<0.002), self-esteem (P<0.005), and social skill (P<0.019) in field gardening activity group whereas there was only significant improvement in interpersonal relationship (P<0.002) in indoor container culture group. Finally, in indoor flower design group in which they used only fresh flowers and plants during their activity, there was significant improvement in social skill (P<0.020) and reduction in powerlessness (P<0.001). In conclusion, it was found that each program had their own unique characteristics and, therefore, it is very important to draw up the programs in accordance with therapeutic goal for the better specialized HT.
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