CAJ | 학술논문

目的：了解重性精神疾病管理治疗项目救助的农村精神分裂症患者精神卫生知晓率与病耻感相关因素，为社区综合干预提供基础资料。方法随机抽取新乡县2011年重性精神疾病管理治疗项目救助的107例精神分裂症患者为调查对象。测查患者精神卫生知识知晓率、评估获得社会支持及病耻感状况，分析相关因素。结果对精神卫生知识知晓的有47例，占43.9%，与对照组相比较在价值否定和社交退缩方面差异具有显著性（P＜0.01）。结论影响精神分裂症患者病耻感存在多方面因素，应强化社区综合干预，提高精神卫生公众教育与知晓率。
목적：료해중성정신질병관리치료항목구조적농촌정신분렬증환자정신위생지효솔여병치감상관인소，위사구종합간예제공기출자료。방법수궤추취신향현2011년중성정신질병관리치료항목구조적107례정신분렬증환자위조사대상。측사환자정신위생지식지효솔、평고획득사회지지급병치감상황，분석상관인소。결과대정신위생지식지효적유47례，점43.9%，여대조조상비교재개치부정화사교퇴축방면차이구유현저성（P＜0.01）。결론영향정신분렬증환자병치감존재다방면인소，응강화사구종합간예，제고정신위생공음교육여지효솔。
Objective To understand the influencing factors of the awareness rate and sense of shame of the rural patients with schizophrenia helped by the severe mental illness management project and provide basic data for community comprehensive intervention. Methods 107 patients with schizophrenia helped by the severe mental illness management project in 2011 were selected as the study subjects. The patients'mental health awareness rate was measured;The social support and sense of shame were evaluated;Relevant factors were analyzed. Results Forty-seven patients were aware of mental health knowledge,accounting for 43.9%, who were significantly different from the control group in the value negation and social withdrawal(P<0.01). Conclusion There are multiple factors influencing the sense of shame of the patients with schizophrenia. Community comprehensive intervention should be strengthened to improve the public education and awareness rate of mental health.