Objective To explore the predictive factors of mental disability severity in patients with schizophrenia. Methods General information questionnaires, WHO Disability Rating Scale Ⅱ, Connor Davidson Resilience Scale, Social Support Scale, Family APGAR, Simplified Coping Style Questionnaire, Self-esteem Scale, Mini-mental State Evaluation and Morisky's Medication Adherence Questionnaire were used to investigate 393 mental disabled patients with schizophrenia. Statistical analysis was performed using independent sample t-test, Pearson correlation analysis, and multiple stepwise regression analysis. Results Multivariate stepwise regression analysis showed that cognitive function (β=-0.283), social support (β=-0.251), and self-esteem (β=-0.226) were predictive factors of mental disability severity in patients with schizophrenia (P<0.001), which accounted for 28.2% of the variation in disability scores. Conclusion Social support, self-esteem, and cognitive function can predict the severity of disability in patients with schizophrenia. It is recommended that clinical nurses provide targeted psychological interventions for the prevention of aggravation of disability in patients with schizophrenia based on medication treatment, and reduce the severity of disability through rehabilitation training such as cognitive training, self-care training, and social skills training thus to improve the quality of life of patients and help them to be reintegrated with the society.
LIU Dong-wei
,
YANG Li-yan
,
ZHOU Yu-qiu
. Predictive Factors of Mental Disability Severity in Patients with Schizophrenia[J]. Journal of Nursing, 2019
, 26(16)
: 1
-5
.
DOI: 10.16460/j.issn1008-9969.2019.16.001
[1] 陈昊天,周郁秋,孙玉静,等. 精神分裂症精神残疾影响因素的研究进展[J]. 神经疾病与精神卫生, 2016, 16(3):333-337. DOI:10.3969/j.issn.1009-6574.2016.03.025.
[2] 李昌英,贺成祥,吴辉. 430例精神残疾评定情况分析[J]. 四川精神卫生, 2016, 29(3):270-272. DOI:10.11886/j.issn.1007-3256.2016.03.020.
[3] 周志坚,张星,金冬,等. 深圳社区精神分裂症患者症状、生存质量与残疾程度[J]. 中国健康心理学杂志, 2018, 26(3):325-328. DOI:10.13342/j.cnki.cjhp.2018.03.002.
[4] Luciano J V, Federici S.World Health Organization Disability Assessment Schedule 2.0[J]. Disabil Rehabil, 2016, 39(23):2347-2380. DOI:10.1080/09638288.2016.1223177.
[5] Wu L, Tan Y, Liu Y.Factor Structure and Psychometric Evaluation of the Connor-davidson Resilience Scale in a New Employee Population of China[J]. Bmc Psychiatry, 2017, 17(1):49-56. DOI:10.1186/s12888-017-1219-0.
[6] Lönnfjord V, Hagquist C.The Psychometric Properties of the Swedish Version of the General Self-efficacy Scale:A Rasch Analysis Based on Adolescent Data[J]. Curr Psycho, 2017, 37(4):1-13. DOI:10.1007/s12144-016-9551-y.
[7] 李杭霏,苏向妮,徐莎莎,等. 社区认知障碍老年人生活质量调查及影响因素分析[J]. 护理学报, 2016, 23(4):41-43. DOI:10.16460/j.issn1008-9969.2016.04.041.
[8] 王秀菊,宋迎,马晨,等. 急性缺血性脑卒中患者血清脂联素水平与血管性认知障碍的相关性[J]. 中国老年学杂志,2018,38(4):771-773.DOI:10.3969/j.issn.1005-9202.2018.04.002.
[9] Ogunnubi O P, Olagunju A T, Aina O F, et al.Medication Adherence Among Nigerians with Schizophrenia: Correlation Between Clinico-demographic Factors and Quality of Life[J]. Ment Illn, 2017, 9(1):10-15. DOI:10.4081/mi.2017.6889.
[10] Robins R W, Hendin H M, Trzesniewski K H.Measuring Global Self-esteem: Construct Validation of a Single-item Measure and the Rosenberg Self-esteem Scale[J]. Pers Soc Psychol Bull, 2016, 27(2):151-161.DOI:10.1177/0146167201272002.
[11] 徐广焕,李朝君,李晶,等. 抑郁障碍患者被他人容纳感与自尊水平的相关性分析[J]. 护理学报, 2016, 23(4):73-74. DOI:10.16460/j.issn1008-9969.2016.04.073.
[12] Takenaka H, Ban N.The Most Important Question in Family Approach: the Potential of the Resolve Item of the Family APGAR in Family Medicine[J]. Asia Pac Fam Med, 2016, 15(1):1-7. DOI:10.1186/s12930-016-0028-9.
[13] Lu C, Yuan L, Lin W, et al.Depression and Resilience Mediates the Effect of Family Function on Quality of Life of the Elderly[J]. Arch Gerontol Geriat, 2017, 71:34-42. DOI:10.1016/j.archger.2017.02.011.
[14] 汪向东,王常林,马弘. 心理卫生评定量表手册[M]. 北京:中国心理卫生出版社,1999.
[15] 王端卫,张敬悬. 简易应对方式问卷的因子分析[J]. 山东大学学报(医学版), 2014, 52(3):96-100. DOI:10.6040/j.issn.1671-7554.0.2013.380.
[16] 陈琼妮,刘莉,张丹,等. 社会支持对精神分裂症患者生活质量和康复的影响[J]. 中国临床心理学杂志, 2016, 24(1):185-187. DOI:10.16128/j.cnki.1005-3611.2016.01.043.
[17] Biggs A, Brough P, Drummond S.The Handbook of Stress and Health: A Guide to Research and Practice[M]. Chichester: Wiley-Blackwell, 2017.
[18] 孙玉静,王丽娜,周郁秋,et al.精神分裂症恢复期精神残疾患者致残因素研究[J]. 中华护理杂志, 2015, 11(6):712-715. DOI:10.3761/j.issn.0254-1769.2015.06.015.
[19] Jewell T C, Downing D, Mcfarlane W R.Partnering with Families: Multiple Family Group Psychoeducation for Schizophrenia[J]. J Clin Psychol, 2010, 65(8):868-878. DOI:10.1002/jclp.20610.
[20] Chen R, Liou T H, Chang K H, et al.Assessment of Functioning and Disability in Patients with Schizophrenia Using the WHO Disability Assessment Schedule 2.0 in a Large-Scale Database[J]. Eur Arch Psychiatry Clin Neurosci, 2017, 268(2):1-11. DOI:10.1007/s00406-017-0834-6.
[21] Passerieux C, Bulot V, Hardy-Baylé M C, et al. Assessing Cognitive-related Disability in Schizophrenia: Reliability, Validity and Underlying Factors of the Evaluation of Cognitive Processes Involved in Disability in Schizophrenia Scale[J]. Disabil Rehabil, 2017, 40(16):1-7. DOI:10.1080/09638288.2017.1312568.
[22] 李雪晶,郭轶,傅春恋,等. CBT联合小剂量利培酮对精神分裂症患者认知功能影响的神经心理学评估[J]. 四川精神卫生,2015,28(3):211-214. DOI:10.1186/s12888-016-0912-8.
[23] 辛春萍. 60例精神分裂症患者社会交往训练效果评价[J]. 护理学报, 2016, 23(6):66-68. DOI:10.16460/j.issn1008-9969.2016.06.066.
