CAJ | 학술논문

目的：探讨长期住院精神分裂症患者的孤独感和共情缺陷特征。方法采用病例对照研究,67例住院时间超过2年的精神分裂症患者为研究组,66例病史大于2年的门诊精神分裂症患者为对照组。所有受试完成一般情况调查表、感情-社会孤独量表(ESLS)和人际反应指针量表(IRI-C)。结果①两组性别、年龄、文化程度差异均无统计学意义(P 均>0.05)；②研究组感情-社会孤独量表总评分高于对照组[(29.78±5.58)分 vs.(27.16±3.79)分],差异有统计学意义(t=-3.17,P=0.002),情感孤独与社会孤独因子分也均高于对照组,差异有统计学意义(P 均<0.05)；③研究组IRI-C总评分低于对照组[(31.39±11.02)分vs.(39.69±9.61)分],差异有统计学意义(t=4.61,P<0.001),反映共情缺陷的“同情关心”因子评分研究组低于对照组[(9.21±3.46)分 vs.(11.18±2.93)分],差异有统计学意义(t=3.55,P=0.001)。结论长期住院精神分裂症患者共情缺陷和孤独感明显,需鼓励患者回归社区以缓解孤独感,降低共情缺陷。
목적：탐토장기주원정신분렬증환자적고독감화공정결함특정。방법채용병례대조연구,67례주원시간초과2년적정신분렬증환자위연구조,66례병사대우2년적문진정신분렬증환자위대조조。소유수시완성일반정황조사표、감정-사회고독량표(ESLS)화인제반응지침량표(IRI-C)。결과①량조성별、년령、문화정도차이균무통계학의의(P 균>0.05)；②연구조감정-사회고독량표총평분고우대조조[(29.78±5.58)분 vs.(27.16±3.79)분],차이유통계학의의(t=-3.17,P=0.002),정감고독여사회고독인자분야균고우대조조,차이유통계학의의(P 균<0.05)；③연구조IRI-C총평분저우대조조[(31.39±11.02)분vs.(39.69±9.61)분],차이유통계학의의(t=4.61,P<0.001),반영공정결함적“동정관심”인자평분연구조저우대조조[(9.21±3.46)분 vs.(11.18±2.93)분],차이유통계학의의(t=3.55,P=0.001)。결론장기주원정신분렬증환자공정결함화고독감명현,수고려환자회귀사구이완해고독감,강저공정결함。
Objective To investigate the long-term hospitalized patients with schizophrenia loneliness and empathy defect characteristics and related factors.Methods A case-control study,67 patients hospitalized with schizophrenia in line with Inter-national Classification of Diseases 10th edition (ICD-10)diagnostic criteria as the study group and randomly selected 66 non-hospitalized schizophrenic patients in the control group.Using the general survey scale,positive and negative symptom scale score sheet (PANSS),interpersonal reactions pointer Scale (IRI-C),emotional - Social Loneliness Scale questionnaire em-pathy defects in both groups,and analyze the impact of loneliness factor.Results ①hospitalized and non-hospitalized patients with positive and negative symptom scale scores were (37.70 ± 8.16)points,(31.41 ± 4.78)points,the difference was sta-tistically significant (t=-5.42,P<0.001).②Hospitalization and interpersonal reactions pointer total score of ambulatory patients were (31.39 ± 11.02)points,(39.69 ± 9.61)points,the difference was statistically significant (t = 4.61;P<0. 001).③ Feelings of inpatient and ambulatory patient group - Social Loneliness Scale scores were (29.78 ± 5.58)points, (27.16 ± 3.79)points,the difference was statistically significant (t = -3.17;P= 0.002).Conclusion The presence of schizophrenia and loneliness obvious defects of empathy and empathy defects and loneliness and positive and negative symptoms of the presence of some relevance,hospital and non-hospital will result in different treatment modalities in patients with de-fects of empathy,loneliness differences in sense of hospitalization than non-hospitalized patients with psychotic symptoms and empathic obvious defects,the degree of loneliness weight.