低功能精神分裂症患者在單圈與雙圈模式之生活討論會中參與程度之比較

The Comparison of Participation between Different Seat Arrangment in Community Meeting for Low-level Functioning Schizophrenics

本研究探討低功能精神分裂症患者，在將座位圍成單圈與雙圈模式之生活討論會中參與程度之比較。研究對象為桃園療養院三之一病房（女性復健病房），於民國八十七年九月十四日至八十八年三月十五日期間，診斷為精神分裂症之住院患者，收集每週一次之生活討論會，其在以單圈一個月（連續四次），然後改以雙圈一個月，交互循環進行，共二十四次，每次團體現象之觀察記錄、和成員自填之結構式問卷，以瞭解其出席情形、發言情形和參與感受情形。以百分比、魏氏檢定及卡方檢定進行資料分析。結果顯示，雙圈之外圈成員較內圈成員容易出現中途離席之情形（p=0.047）、雙圈成員較單圈成員感受彼此間較無視線接觸（p=0.033），而發言情形則與單圈或雙圈之模式無顯著相關。顯示出雙圈模式之生活討論會較不受低功能精神分裂症患者的歡迎。研究結果可作為精神科復健病房大團體治療與活動模式的參考。

This study is the comparison of participation between the single and double circle seating for the low-level functioning schizophrenics. The objects of this study were a group of female patient Toyuan Psychiatric Center. The study period was between 9.14.98 to 3.15.99. The patients were inpatients who had been diagnosed as schizxophrenia. The data was collected in the weekly community meeting. The processes would be single-circle set for amonth, four weeks in the row. Then the seating would be changed to dould seating for a month, four weeks in the row. This procedure would be hold alternatively for 24 weeks. The data includes the observation of the group activities from the researcher, and the participated patients 'feed back. In this case, they were coming from structure questionnaires after the meeting. Overall, researcher would vert good idea about the meeting appearance, the frequency of speaking out and the opinions of each patient after meeting. The information was analyzed by percentage and chi-quire test and Mann-Whitney test methed The result shows that in the double circle seating the outside circle patients were more likely to leave early than the single circle seating. (p=0.047) Also, umder the double circle setting the patients would be more likely to void the eye contacts with each other. (P=0.033) However, the situation of speakingout had not significant difference between this two setting. The result of this study shows that the double circle setting was mot as welcome as the single oneby the low-level functioning schizophrenics. This result could be collated by other Schizophrenicsin rehabilitation wards which have large group therapy or similar activities.