CAJ | 학술논문

目的：调查精神病患者社会支持、应对方式、一般自我效能感、病耻感状况，并分析社会支持、应对方式、一般自我效能感对精神病患者病耻感的影响。方法采用Link病耻感系列量表、社会支持评定量表、一般自我效能感量表、简易应对方式问卷对406例住院康复期精神病患者进行问卷调查及分析。结果406例精神病患者病耻感总分为（2．33±0．19），低于量表中点2．5分，差异有统计学意义（t＝-17．857，P＜0．01）；患者社会支持总分、一般自我效能感总分、消积应对得分分别为（32．13±7．03），（25．75±7．31），（1．59±0．66）分，与全国常模比较差异均有统计学意义（t值分别为42．505，0．000，-4．866；P＜0．01）；相关分析显示，病耻感与社会支持总分、社会支持利用度、一般自我效能感评分之间存在负相关关系（P＜0．05），与消极应对存在正相关关系（P＜0．01）；逐步回归分析发现消极应对为病耻感的影响因素（P＜0．01），采用消极应对方式越多的患者，病耻感越强。结论提高精神病患者社会支持和一般自我效能感，减少消极应对均有助于减轻其病耻感。
목적：조사정신병환자사회지지、응대방식、일반자아효능감、병치감상황，병분석사회지지、응대방식、일반자아효능감대정신병환자병치감적영향。방법채용Link병치감계렬량표、사회지지평정량표、일반자아효능감량표、간역응대방식문권대406례주원강복기정신병환자진행문권조사급분석。결과406례정신병환자병치감총분위（2．33±0．19），저우량표중점2．5분，차이유통계학의의（t＝-17．857，P＜0．01）；환자사회지지총분、일반자아효능감총분、소적응대득분분별위（32．13±7．03），（25．75±7．31），（1．59±0．66）분，여전국상모비교차이균유통계학의의（t치분별위42．505，0．000，-4．866；P＜0．01）；상관분석현시，병치감여사회지지총분、사회지지이용도、일반자아효능감평분지간존재부상관관계（P＜0．05），여소겁응대존재정상관관계（P＜0．01）；축보회귀분석발현소겁응대위병치감적영향인소（P＜0．01），채용소겁응대방식월다적환자，병치감월강。결론제고정신병환자사회지지화일반자아효능감，감소소겁응대균유조우감경기병치감。
Objective To investigate the influence of social support , coping style and self efficacy on stigma of patients with mental disorders .Methods Using the Link stigma series scale , the social support rating scale, the General self-efficacy scale and the Simplified coping style questionnaire ,we assessed and analyzed 406 psychiatric patients’ social support, general self-efficacy, coping style and its influence on the stigma . Results The total score of stigma of the 406 patients was (2.33 ±0.19) which was significantly lower than the rating scale point (t=-17.857,P<0.01).The total scores of social support , utilization of social support and general self-efficacy were (32.13 ±7.03), (25.75 ±7.31) and (1.59 ±0.66), which were also significantly different than the national norm (t=42.505, 0.000, -4.866, respectively;P<0.01).Correlation analysis results showed that stigma had significant negative correlation with total score of social support , utilization of social support and general self-efficacy (P<0.05);stigma had positive correlation with negative coping style (P<0.01).Multiple linear stepwise regression showed that negative coping style was the significant influence factor to the stigma (P <0.01).The more negative coping style adopted by the patients , the more serious stigma the patient would perceive .Conclusions It will be helpful to reduce psychiatric patients ’ stigma by improving social support , general self-efficacy and adapting less negative coping style .