住院精神分裂症患者家属自测健康状况调查研究

目的探讨住院精神分裂症患者家属的自测健康状况,为改善患者的家庭支持系统提供依据。方法采用分层随机取样法,抽取2012年9月-12月在广东省河源市源城区精神卫生防治所住院的精神分裂症患者的家属(家属组)和一般人群(对照组)各100例,进行自测健康评定量表(SRHMS)调查,并采用简易应对方式量表(SCSQ)调查家属组的应对方式特点。结果家属组SRHMS的健康总体自测维度得分和社会健康子量表得分均低于对照组(28.39±8.95)分vs.(32.51±3.65)分,(75.47±25.52)分vs.(88.66±11.94)分],差异有统计学意义(t=3.015、3.311,P0.01);家属组的积极应对方式和消极应对方式得分与常模比较差异有统计学意义(t=2.056、4.494,P0.05或0.01);家属组SRHMS各维度与积极因子正相关(r=0.728~0.299,P0.05或0.01);除维度1、5、8、9及社会健康子量表分、健康量表总分外,其余各维度与消极因子负相关(r=-0.416~-0.304,P0.05或0.01)。结论精神分裂症患者家属的健康水平偏低,可能与消极应对方式有关。

Hospitalized patients with schizophrenia families self-test health research

Objective To explore the self-test health status of the families of hospitalized patients with schizophrenia and im-prove the patient＇s family support system. Methods The stratified random sampling method is utilized to assess the self-test health level of 100 cases of schizophrenia patients＇ families （ family group） and 100 cases in the general population （ control group） respec-tively during September and December at 2012 for investigating on self-test health rating scale （ SRHMS） and analyzing family group ＇s coping characteristic of simple coping style questionnaire （ SCSQ） . Results Social health factors of family group were significantly lowerthanthatofcontrolgroup（28.39±8.95）pointsvs.（32.51±3.65）points],thedifferencewasstatisticallysignificant（t=3.015, P=0. 003）. Family group social health subscale score lower than the control group （75. 47 ± 25. 52） points vs. （88. 66 ± 11. 94） points], the difference was statistically significant （t=3. 311,P〈0. 001）. Positive coping style of family group and constant norm differ-ence was statistically significant （t=2. 056,P〈0. 05）. Negative coping style of family group and constant norm difference was statistical-ly significant （t=4. 494,P〈0. 01）. Conclusion Health level of family group was obviously lower than the control group.