摘要
目的调查精神分裂症(SCH)患者的家属病耻感状况及社会支持需求状况,分析社会支持需求与家属病耻感的相关性。方法选取2022年1月至2023年1月调查分析商丘市第二人民医院精神科病区收治的126例SCH患者的临床病例资料,运用Link的贬低-歧视感知量表(PDD)评价家属病耻感,以社会支持评定量表(SSRS)评估家属社会支持需求状况,分析比较126例患者和家属一般资料,家属病耻感相关影响因素采用线性回归分析,社会支持需求与家属病耻感的相关性采用Pearson相关性分析。结果SCH患者家属病耻感平均得分为(2.61±0.82)分,家属社会支持平均得分为(31.03±7.21)分。SCH患者家属病耻感与患者的病程、住院次数及家属的家属月收入等有关,差异具有统计学意义(P<0.05),与家属的文化程度、婚姻状况、工作状况及患者的发病年龄等无关,差异无统计学意义(P>0.05),多元线性回归分析发现,社会支持得分越低、住院次数在3次及以上,SCH患者家属病耻感得分越高,差异具有统计学意义(P<0.05),Pearson相关性分析显示,SCH患者家属病耻感与社会支持呈负相关,差异具有统计学意义(P<0.05)。结论精神分裂症患者家属具有较严重的病耻感,且社会支持得分普遍较低,住院次数在3次及以上、社会支持得分低是患者家属病耻感的独立危险因素,同时社会支持也与SCH患者家属病耻感呈负相关关系,临床可以从加强患者家属的社会支持入手,降低患者家属的病耻感。
Objective To investigate the sense of disease shame and social support needs of family members of patients with schizophrenia(SCH),and to analyze the correlation between social support needs and the sense of disease shame of family members.Methods The clinical case data of 126 SCH patients admitted to the psychiatric ward of The Second People’s Hospital of Shangqiu from January 2022 to January 2023 were selected for investigation and analysis.The Perceived Devaluation-Discrimination Scale(PDD)by Link was used to evaluate the sense of disease shame of family members,and the Social Support Rating Scale(SSRS)was used to assess the social support needs of family members.The general information of 126 patients and their family members was analyzed and compared.The influencing factors related to the sense of disease shame of family members were analyzed by linear regression,and the correlation between social support needs and the sense of disease shame of family members was analyzed by Pearson correlation analysis.Results The average score of the sense of disease shame of family members of SCH patients was(2.61±0.82)points,and the average score of social support of family members was(31.03±7.21)points.The sense of disease shame of family members of SCH patients is related to the course of the patient’s disease,the number of hospitalizations,and the monthly income of the family members,and the difference is statistically significant(P<0.05).It is not related to the educational level,marital status,work status of the family members,and the age of onset of the patient,and the difference is not statistically significant(P>0.05).Multivariate linear regression analysis found that the lower the social support score and the number of hospitalizations is 3 or more,the higher the sense of disease shame score of family members of SCH patients,and the difference is statistically significant(P<0.05).Pearson correlation analysis showed that the sense of disease shame of family members of SCH patients was negatively correlated
作者
彭少华
PENG Shaohua(Psychiatric Ward,The Second People’s Hospital of Shangqiu,Shangqiu Henan 476000,China)
出处
《临床研究》
2024年第7期68-71,共4页
Clinical Research
关键词
精神分裂症
病耻感
社会支持
schizophrenia
sense of disease shame
social support
