摘要
目的了解康复期精神分裂症患者病耻感和自我效能及应对方式的关系,为康复指导提供参考依据。方法对124例康复出院的精神分裂症患者在出院当天进行调查,调查工具包括精神病患者病耻感评估量表、一般自我效能感量表(GSES)、医学应对方式问卷(MCMQ)。结果本研究的患者对能力方面的歧视感低,但病程越长,与治疗和副反应有关的病耻感越强烈。和其他慢性病患者比较,采取回避、屈服的应对方式较多,且男性更多采取回避的应对方式。病耻感总分与屈服分呈正相关。自我效能越低,社交歧视感和能力方面歧视感越强。结论精神分裂症患者有较强的病耻感,且采取回避、屈服应对方式较多。应尽早开始康复训练,加强疾病知识宣传,重视家庭成员间的情感表达,积极改善患者的人际因素,增强患者的自信心,有效地减轻歧视感和病耻感。
Objective To investigate the relationship of illness stigma with self efficacy with rehabihtation schizophrenia, providing references for rehabilitation work. Methods and coping style in patients 124 schizophrenic patients were assessed with mental illness stigma scale, general self-efficacy scale （GSES）, medical coping style questionnaire （MCMQ） before the discharge. Results Score of ability discrimination was relatively low. But the longer the duration, the illness stigma related with treatment and side effects were more serious. Compared with patients with other chronic disease, patients in present study were more easily to choose evade and yield, especially for the male patients. Total score of illness stigma was positively correlated with score of yield. The lower the self-efficacy was, the stronger social discrimination and ability discrimination were. Conclusion The schizophrenic patients have strong illness stigma, and are more easily to adopt evasive and yield coping style. In order to relieve thesense of discrimination and illness stigma in patients with schizophrenia ,we should make the rehabilitation training as earlier as possible.
出处
《精神医学杂志》
2012年第2期87-88,共2页
Journal of Psychiatry
基金
"十一五"国家科技支撑计划(编号:2007BAI17B04)
