摘要
目的:分析精神分裂症家庭照顾者疾病感知与社会支持的相关性,为家庭照顾者的干预措施提供参考依据.方法:本研究为横断面调查,通过整群抽样方法选取某三级医院就诊的符合纳入标准的290例精神分裂症家庭照顾者作为调查对象,采用一般资料收集问卷、精神分裂症疾病感知亲属版量表和社会支持评定量表进行问卷调查,采用Spearman相关分析来分析家庭照顾者疾病感知与其社会支持的相关性.结果:精神分裂症家庭照顾者疾病感知与社会支持的相关性:疾病感知的周期性时间线(rs=-0.423,P<0.05)、后果-亲属(rs=-0.306,P<0.05)、后果-患者(rs=-0.472,P<0.05)、个人指责-患者(rs=-0.443,P<0.05)、疾病一致性(rs=-0.359,P<0.05)、情感表征(rs=-0.312,P<0.05)、症状识别(rs=-0.376,P<0.05)与社会支持总分负向相关性.个人控制-患者(rs=0.429,P<0.05)、治疗/控制(rs=0.386,P<0.05)与社会支持总分呈正向相关性.客观社会支持与后果-亲属(rs=-0.383,P<0.05)呈负向相关性,与治疗/控制呈正向相关性(rs=0.465,P<0.05).多因素分析结果显示:后果-患者(OR=0.320,95%CI:0.184～0.562)与社会支持呈负向关联性,治疗/控制(OR=2.572,95%CI:1.465～4.516)与社会支持呈正相关.结论:精神分裂症家庭照顾者社会支持主要与疾病感知的后果-患者呈负相关;社会支持与治疗/控制呈正相关.
Abstract
Objective To analyze the correlation between disease perception and social support among family caregivers with schizophrenia,and provide reference for intervention measures for family caregivers.Methods This study is a cross-sectional survey,using a cluster sampling method to select 290 family caregivers with schizophrenia who met the inclusion criteria from a tertiary hospital as the survey subjects.The survey was conducted using a general data collection questionnaire,the Schizophrenic Disease Perceived Relatives Scale(IPQS),and the Social Support Assessment Scale(SS-A),Use Sperman correlation analysis to analyze the correlation between disease perception and social support among family caregivers.Results The correlation be-tween disease perception and social support among family caregivers of schizophrenia:The periodic timeline of disease perception(r=-0.423,P<0.05),consequences relatives(r=-0.306,P<0.05),consequences patients(r=-0.472,P<0.05),personal blame patients(r=-0.443,P<0.05),disease consistency(r=-0.359,P<0.05),emotional representation(r=-0.312,P<0.05),symptom recognition(r=-0.376,P<0.05),and social support total score are negatively correlated.There is a positive correlation between personal control patient(r=0.429,P<0.05),treatment/control(r=0.386,P<0.05),and total social support score.Objective social support is negatively correlated with outcome relative(r=-0.383,P<0.05)and positively correlated with treatment/control(r=0.465,P<0.05).Multivariate analysis results show that outcome patient(OR=0.320,95%CI:0.184-0.562)is negatively correlated with social support,while treatment/control(OR=2.572,95%CI:1.465-4.516)is positively correlated with social support.Conclusion The social support of family caregivers for schizophrenia is mainly negatively correlated with the perceived consequences of the disease-patients;Social support is positively correlated with treatment/control.
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