精神疾病患者家属病耻感现况及影响因素

发布时间：2018-08-27 16:50

【摘要】：目的:对精神疾病患者家属的感知病耻感状况进行描述,并分析病耻感的影响因素。方法:采取随机抽样方法抽取157名住院精神疾病患者的家属,对其进行病耻感以及影响因素的问卷调查,分析了病耻感在年龄、性别、婚姻状况、职业、受教育程度等的分布差异,并从社会和人口学、精神卫生和心理健康知识、社会支持、应对方式等角度分析病耻感的影响因素。结果:78.3%的精神疾病患者家属存在感知病耻感,不同年龄、性别、婚姻状况、受教育程度等的家属,其病耻感程度不同(t=31.319,-3.105,32.300,23.868;P0.01)。多元逐步回归分析发现,消极应对、年龄、性别、患者住院次数、客观支持、患者病程、积极应对为病耻感的显著影响因素(P0.01)。结论:精神疾病患者家属的感知病耻感不容忽视,消极应对方式越强、客观支持与积极应对方式越少的患者家属,病耻感越强。本研究所得结果为改善精神疾病患者家属的心理健康状况提供了部分参考依据。
[Abstract]:Objective: to describe the stigma of the patients with mental illness and analyze the influencing factors. Methods: 157 family members of inpatients with mental illness were selected by random sampling, and their stigma and influencing factors were investigated by questionnaire, and age, sex, marital status, occupation were analyzed. The distribution of educational level was different, and the influencing factors of stigma were analyzed from the aspects of social and demographic, mental health and mental health knowledge, social support, coping style and so on. Results in 78.3% of the family members of the patients with mental illness, the sense of shame was different among the family members with different age, sex, marital status and education (t 31.319- 3.105, 32.300, 23.868, P0.01). Multiple stepwise regression analysis showed that negative coping, age, sex, hospitalization times, objective support, course of disease and positive coping were the significant influencing factors (P0.01). Conclusion: the sense of shame of the family members of mental illness can not be ignored. The stronger the negative coping style is, the stronger the sense of shame is with the family members with less objective support and positive coping style. The results of this study provide some references for improving the mental health status of family members of patients with mental illness.
【作者单位】：潍坊医学院;
【基金】：潍坊医学院“健康山东”社会风险预测与治理协同创新项目(编号:XT1407001)
【分类号】：R473.74

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