摘要
目的:探讨精神病患者家属心理健康状况、影响因素及相关护理对策。方法:采用症状自评量表和Zung焦虑自评量表、抑郁自评量表及自制一般情况调查问卷对134例精神病患者的家属进行评定分析。结果:精神病患者家属症状自评量表评分总分、总均分、阳性项目数高于国内常模,躯体化、敌对、偏执等因子分与国内常模相比具有显著性差异(P<0.01)。精神病患者家属症状自评量表评分与患者住院的次数、住院费用来源、家属性别、文化程度、家庭经济状况、与患者的关系相关,而与年龄、职业无相关关系。焦虑自评量表及抑郁自评量表评分均显著高于国内常模(P<0.01)。在134人中,87人有焦虑情绪,发生率为64.93%;65人有抑郁情绪,发生率为48.51%;同时存在焦虑和抑郁情绪的有64人,发生率为42.76%。结论:精神病患者家属普遍存在不同程度的心理问题,不同家庭因素对患者家属的心理健康状况有不同程度的影响,需采取相应的护理措施提高他们的心理健康水平。
Objective：To explore the psychological status and its influenced factors and nursing methods about the family members of mental disease. Methods： By the symptom checklist - 90 and the Self - Rating Anxiety Scale and Self - Rating Depression Scale and Self - made General Data Questionnaire we had investigated and evaluated 134 the family members of mental disease. Results ： The total score, total mean score and positive numbers of SCL - 90 were more than those of common people in china. There were more significant about the factor scores of somatization, hostility and paranoia between 134 members and common people in china. （P 〈 0.01 ）. The score of SCL - 90 was related to times of hospitalization, source of payment, sex, degree of education, family economic level and relationship with the patient . There was no relation to age and profession of the family members . Among 134 member ,87 （64.93%） and 65 （48.51% ） have anxiety and depression respectively. 64 （42.76%） have both anxiety and depression . The SAS score and SDS score were more than that of common people （P 〈 0. 01 ）. Conclusions： There are various psychological problem among the family members of mental disease, The various factor had different degree influence. We should use some nursing methods to intervene and treat their mental pressure.
出处
《中国民康医学》
2009年第17期2120-2122,2125,共4页
Medical Journal of Chinese People’s Health
基金
武汉市卫生局资助课题(编号:2002219)
关键词
精神病
家属
心理健康
护理干预
Mental Disease
Family Members
Psychological Health
Nursing Intervention
