抑郁症患者生活质量与自我病耻感的相关性研究

发布时间：2018-01-10 07:08

本文关键词：抑郁症患者生活质量与自我病耻感的相关性研究　出处：《中国全科医学》2015年16期 　论文类型：期刊论文

【摘要】：目的了解抑郁症患者生活质量及自我病耻感状况,探讨抑郁症患者生活质量与自我病耻感的相关性。方法采用世界卫生组织生活质量测定量表简表(WHOQOL-BREF)和精神疾病内在病耻感调查表(ISMI)对2013年9—12月泰州地区3家精神疾病防治院的155例抑郁症患者进行问卷调查。结果抑郁症患者总体生活质量、生理领域、心理领域、社会关系领域得分均低于国内常模,差异有统计学意义(P0.05);ISMI标准分为(2.52±0.44)分,不同自我病耻感水平患者在年龄、发病年龄、每天服药次数、药物种类及住院次数的分布上差异有统计学意义(P0.05)。Pearson相关分析显示,患者总体生活质量及其4个领域得分与ISMI标准分及除病耻抵抗因子外的其他因子得分均呈负相关(P0.01)。结论抑郁症患者生活质量水平较低,自我病耻感水平较高。患者的生活质量各领域与自我病耻感的标准分以及疏远因子、刻板印象因子、歧视因子、社交退缩因子呈负相关。精神卫生工作者应针对抑郁症患者的自我病耻感对其生活质量的影响采取相应的干预措施,降低其自我病耻感,最大限度地促进患者康复,提高其生活质量。
[Abstract]:Objective to investigate the quality of life (QOL) and the stigma of self-illness in patients with depression. To explore the correlation between quality of life and stigma of self-illness in patients with depression. Methods the World Health Organization quality of Life scale (WHOQOL-BREF) and the scale of stigma of mental illness were used (. In 2013, 155 patients with depression in three mental disease prevention and treatment hospitals in Taizhou were investigated by ISMI.Results the overall quality of life of patients with depression was evaluated. The scores of physiology, psychology and social relations were lower than that of the national norm, and the difference was statistically significant (P 0.05). The ISMI standard was 2. 52 卤0. 44). Patients with different levels of self-morbid stigma were treated with drugs at age, onset age and times of taking drugs daily. There was a significant difference in the distribution of drug types and times of hospitalization. Pearson correlation analysis showed that there was no significant difference between the two groups. The scores of total quality of life and its four domains were negatively correlated with the ISMI standard score and the scores of other factors except the factor of disease and shame resistance. Conclusion the quality of life of the patients with depression is lower than that of the patients with depression. The quality of life of patients and the standard score of self-ill stigma, alienation factor, stereotype factor, discrimination factor. The factor of social withdrawal is negatively correlated. Mental health workers should take appropriate intervention measures to reduce the self-ill stigma of depression patients in view of the impact of self-disease on their quality of life. To maximize the rehabilitation of patients, improve their quality of life.
【作者单位】：泰州职业技术学院;南京医科大学护理学院;南京市鼓楼医院;南京医科大学第一附属医院;泰州市第四人民医院;泰州市人民医院;兴化市第四人民医院;靖江市第二人民医院;泰兴市人民医院;
【基金】：江苏省卫生厅科技项目(J201309)
【分类号】：R749.42
【正文快照】： Correlation Between the Life Quality and Self-stigma of Patients With Depressive Disorder CHEN Yi-gang,CHENLu,ZHOU Hang,et al.Taizhou Polytechnic College,Taizhou 225300,China病耻感最早由Goffman在1966年提出,它表现为患者身处歧视环境中,因认同社会对其固定的

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