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护理学报 ›› 2019, Vol. 26 ›› Issue (14): 43-46.doi: 10.16460/j.issn1008-9969.2019.14.043

• 调查研究 • 上一篇    下一篇

425例住院缓解期精神分裂症患者病耻感现状及影响因素分析

汤明文a, 张燕红b, c, 刘寿娟a   

  1. 南京医科大学附属脑科医院 a.622区; b.护理部; c.临床护理教研室,江苏 南京 210029
  • 收稿日期:2019-03-15 发布日期:2020-07-08
  • 通讯作者: 张燕红（1969-,女,江苏兴化人,本科学历,主任护师,硕士研究生导师。E-mail：1002820216@qq.com
  • 作者简介:汤明文（1987-,女,江苏南京人,本科学历,主管护师。
  • 基金资助:
    江苏省卫计委资助项目（N2017006);南京医科大学附属脑科医院资助项目（HLKT-2017-009);南京医科大学科技发展基金一般项目（NMUB2018202)

Stigma of Inpatients with Schizophrenia at Remission Phase and Its Influence Factors: A 425-case Study

TANG Ming-wena, ZHANG Yan-hongb,c, LIU Shou-juana   

  1. a. No. 622 Ward; b. Dept. of Nursing Administration; c. Teaching and Research Office of Clinical Nursing,Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing 210029, China
  • Received:2019-03-15 Published:2020-07-08

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摘要： 目的 调查住院缓解期精神分裂症患者的病耻感,并分析其影响因素。方法 采用便利抽样法,选取2017年12月—2018年5月在江苏省某三级甲等医院住院缓解期精神分裂症患者425例为研究对象。采用一般资料问卷、Link贬低-歧视感知量表、Herth希望量表对425例住院精神分裂症患者进行调查,采用多元线性回归分析病耻感的影响因素。结果 425例住院缓解期精神分裂症患者贬低-歧视感量表总分为（28.59±4.01分,病耻感检出率为86.4%;多元线性回归结显示,文化程度、住院次数、未婚、离异及丧偶、希望水平进入回归方程（P<0.05,共解释了住院缓解期精神分裂症患者病耻感总变异的44.2%。结论 住院缓解期精神分裂症患者病耻感检出率较高,希望水平低、未婚、离异及丧偶、住院次数多、文化程度低是患者病耻感影响因素。建议护理人员通过自我肯定训练等干预措施来提高患者的希望水平,增加对精神疾病知识的教育,鼓励其坚持服药减少复发,帮助其建立起良好的人际关系,从而减轻其病耻感。

关键词: 精神分裂症, 缓解期, 病耻感, 希望水平

Abstract: Objective To investigate the stigma of inpatients with schizophrenia at remission phase and analyze its influence factors. Methods Convenience sampling method was adopted to select 425 patients with schizophrenia at remission phase in a tertiary grade A hospital in Jiangsu Province from December 2017 to May 2018 and they were investigated by using general information questionnaire, Link Disparage-discrimination Perception Scale and Herth Hope Scale, and multiple regression analysis was used to analyze the influence factors of stigma. Results The total score of Link disparage-discrimination perception scale of 425 hospitalized patients with schizophrenia at remission phase was 28.59±4.01, and the detection rate of stigma was 86.4%. Multiple linear regression showed that education background, number of hospitalization, unmarried, divorced and widowed, and hope level entered into the regression equation (P<0.05, which accounted for 44.2% of the total variation of stigma. Conclusion There is higher detection rate of stigma in patients with schizophrenia at remission phase. The lower the level of hope, the more times of hospitalization and the lower the level of education, the stronger the sense of stigma. And unmarried, divorced and widowed were the influencing factors of stigma. Improvement of patients' level of hope through self-affirmation training, more education on mental illness, adherence to medication to reduce recurrence and good interpersonal relationship are beneficial to alleviating the experience of stigma.

Key words: schizophrenia, remission, stigma, hope level

中图分类号: 

  • R473.74
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