CAJ | 학술논문

目的探讨内蒙古自治区(简称内蒙)农牧区精神分裂症患者主要照顾者的心理健康现状及相关因素,以期为临床护理人员实施心理护理提供依据.方法运用症状自评量表(SCL-90)对264名精神分裂症患者及其主要照顾者及260名健康人进行调查;采用社会支持评定量表(SSRS)测评主要照顾者社会支持状况;采用阳性、阴性症状量表(PANSS)测量患者的症状严重程度.并对上述测量的结果进行分析.结果精神分裂症患者主要照顾者SCL-90总症状指数得分高于当地健康个体,尤其是躯体化、人际关系敏感、抑郁、焦虑、敌对、偏执各因子得分显著高于健康个体.多元回归分析显示,照顾者性别、照顾者年龄、病程、阳性症状、阴性症状及社会支持总分为主要照顾者心理健康的危险因素.结论内蒙农牧区精神分裂症患者主要照顾者心理健康状况较差.精神卫生人员应充分关注精神分裂症患者主要照顾者的心理健康状况,给予针对性措施,达到提高主要照顾者心理健康的目的.
목적 탐토내몽고자치구(간칭내몽)농목구정신분렬증환자주요조고자적심리건강현상급상관인소,이기위림상호리인원실시심리호리제공의거.방법 운용증상자평량표(SCL-90)대264명정신분렬증환자급기주요조고자급260명건강인진행조사;채용사회지지평정량표(SSRS)측평주요조고자사회지지상황;채용양성、음성증상량표(PANSS)측량환자적증상엄중정도.병대상술측량적결과진행분석.결과 정신분렬증환자주요조고자SCL-90총증상지수득분고우당지건강개체,우기시구체화、인제관계민감、억욱、초필、활대、편집각인자득분현저고우건강개체.다원회귀분석현시,조고자성별、조고자년령、병정、양성증상、음성증상급사회지지총분위주요조고자심리건강적위험인소.결론 내몽농목구정신분렬증환자주요조고자심리건강상황교차.정신위생인원응충분관주정신분렬증환자주요조고자적심리건강상황,급여침대성조시,체도제고주요조고자심리건강적목적.
Objective To understand the psychological health status and related factors in the primary caregivers of schizophrenia patients in Inner Mongolia,in order to provide empirical basis for nursing care.Methods A sample of 264 chronic schizophrenia patients and their primary caregivers,and 260 local normal individuals were selected according to random cluster sampling.The Symptom Check List-90 (SCL-90) and Social Support Rating Scale (SSRS)were used to evaluate the psychological health status.Symptom severity was assessed with the Positive and Negative Syndrome Scale (PANSS).Results The total SCL-90 score of caregivers of patients was higher than that of local normal individuals,especially the scores of somatization,interpersonal sensitivity,depression,anxiety,hostility,and paranoid ideation were higher than those of local normal individuals.Multiple regression analysis showed that caregivers' sex,caregivers' age,duration of illness,positive symptomatology,negative symptomatology and social support were significant predictors of caregivers' psychological health status.Conclusions The primary caregivers of patients with schizophrenia have worse mental health.Health care professionals should pay close attention to psychological health status in the primary caregivers and provide continuous individualized services,and thereby to improve the primary caregiver' psychological health status.