摘要
目的探讨重性精神病患者家庭负担与家属的幸福感之间的关系。方法采用自编的一般家庭状况调查问卷、家庭负担会谈量表和幸福感指数量表对265例重性精神病患者的一级亲属进行评定。结果相关分析发现,病程、住院次数、年均治病费用与幸福感指数呈负相关(P<0.01),而患病前后家庭经济状况、年人均收入、治疗费用报销比例与幸福感指数呈正相关(P<0.05)。FBS总分及各因子分均与幸福感指数呈负相关(P<0.01)。多因素分析发现FBS总分和经济负担是影响幸福感指数的最重要的因素。结论疾病的家庭负担,尤其是经济负担会严重影响家属的主观幸福感。
Objective To explore the relationship between family burden and family well-being in patients with severe psychossi. Methods 265 first-degree relatives of patients with severe psychosis were assessed with self-designed general information questionnaire, Family Burden Scale of diseases （FBS） and Index of Well-being （IWB）. Results Correlation analysis indicated that score of IWB was significantly negatively correlated with course of disease, number of hospitalization and the annual average treatment cost （ P 〈 0.01 ）. Score of IWB was significantly positively correlated with family economic status, annual per capita income, reimbursement proportion of treatment cost （ P 〈 0.05 ）. Total score and factor scores of FBS were significantly negatively correlated with score of WBI （ P 〈 O. 01 ）. Multivariate analysis showed that total score of FBS and family economic burden were the top two influencing factors of family well-being index. Conclusion The family burden of disease especially the economic burden have serious imoact on the family well-being.
出处
《精神医学杂志》
2014年第4期251-253,共3页
Journal of Psychiatry
基金
山东省烟台市科技局科技项目(编号:2013WS260)
关键词
重性精神疾病
一级亲属
家庭负担
幸福感
Severe psychosis First-degree relatives Family burden Well-being
