程秀,童亦滨,杨敬源,李栋栋,崔宏博,朱海建
CHENG Xiu,TONG Yibin,YANG Jingyuan,LI Dongdong,CUI Hongbo,ZHU Haijian

• 1:贵州医科大学公共卫生学院
• 2:贵州医科大学环境污染与疾病监控教育部重点实验室
• 3:贵州省卫生发展研究院
• 4:贵州医科大学

摘要(Abstract)：

目的:探讨住院精神分裂症患者精神卫生知识知晓情况与其生存质量的关系。方法:对127例住院精神分裂症患者采用自行编制的一般情况量表、精神卫生知识知晓问卷及世界卫生组织生存质量测定简表进行测评分析,比较不同精神卫生知识得分水平患者的生存质量,多元线性回归分析精神卫生知识知晓水平与生存质量的关系。结果:住院精神分裂症患者对精神卫生知识知晓率为39. 98%,随着精神卫生知识知晓水平升高,精神分裂症患者生理领域、心理领域和社会领域得分增加(P-trend <0. 05);多元线性回归分析显示年龄、民族、病程、文化程度、婚姻状况及精神卫生知识知晓水平与患者的生存质量密切相关(P <0. 01)。结论:精神分裂症患者的精神卫生知识知晓水平与生活质量密切相关,建议加强对精神分裂症患者精神卫生知识的宣教,有助于提高患者生活质量。
Objective: To explore the relationship between mental health knowledge and the quality of life of schizophrenic inpatients. Methods: 127 inpatients with schizophrenia were assessed and analyzed by self-made general condition scale,mental health knowledge questionnaire and WHOQOLBREF. The quality of life( QOL) of patients with different mental health knowledge scores was compared,and the relationship between mental health knowledge level and QOL was analyzed by multiple linear regression analysis. Results: The awareness rate of mental health knowledge of inpatients with schizophrenia was 39. 98%. With the increase of mental health knowledge,the scores of physiological,psychological and social aspects of schizophrenic patients increased( P-trend < 0. 05). Multiple linear regression analysis showed that age,nationality,course of disease,education level,marital status and mental health knowledge level were closely related to inpatients' quality of life( P < 0. 01).Conclusion: Schizophrenic inpatients' knowledge of mental health knowledge is closely related to their quality of life. It is suggested that education on mental health knowledge of schizophrenic patients should be strengthened in order to improve the quality of life of patients with schizophrenia.

关键词(KeyWords)： 住院;精神分裂症;生存质量;精神卫生知识;知晓率
hospitalization;schizophrenia;quality of life;health knowledge;awareness rate

Abstract:

Keywords:

基金项目(Foundation): 贵州省卫生计生委科学技术基金资助项目(WT17001)

作者(Author): 程秀,童亦滨,杨敬源,李栋栋,崔宏博,朱海建
CHENG Xiu,TONG Yibin,YANG Jingyuan,LI Dongdong,CUI Hongbo,ZHU Haijian

DOI: 10.19367/j.cnki.1000-2707.2019.02.015

参考文献(References)：

• [1]江开达.精神病学[M]. 7版.北京:人民卫生出版社,2014.
• [2]王国强.中国疾病预防控制60年[M].北京:中国人口出版社,2015. 6.
• [3]ZOUARI L,THABET J B,ELLOUMI Z,et al. Qualityof life in patients with schizophrenia:a study of 100 cases[J]. Lencephale,2012,38(2):111.
• [4]颜雪花,何红波,周燕玲,等.精神分裂症患者生活质量与药物治疗态度的相关性[J].四川精神卫生,2015,28(4):302-305.
• [5]杨隆,王雪莲.精神分裂症女性患者停药原因及相关调查分析[J].中国民康医学,2014,26(19):71-72.
• [6]尹娥.精神分裂症患者中断服药治疗的影响因素分析[J].医学临床研究,2017,34(7):1409-1411.
• [7]王晓琴.精神分裂症患者生活质量、病耻感及药物依从性的研究[D].武汉:武汉大学,2016.
• [8]HOFER A,MIZUNO Y,FRAJO-APOR B,et al. Resili-ence,internalized stigma,self-esteem,and hopelessnessamong people with schizophrenia:Cultural comparison inAustria and Japan[J]. Schizophrenia Research,2016,171(1):86-91.
• [9]周小青,姚丰菊.社区精神分裂症照顾者精神卫生知识知晓率及生活质量状况调查[J].临床心身疾病杂志,2014,20(4):97-98,120.
• [10]黄志平.长沙、西安、无锡三城市居民精神健康素养研究[M].长沙:中南大学,2011.
• [11]SKEVINGTON S M,LOTFY M,O'CONNELL K A. TheWorld Health Organization's WHOQOL-BREF quality oflife assessment:Psychometric properties and results ofthe international field trial. A Report from the WHOQOLGroup[J]. Quality of Life Research,2004,13(2):299-310.
• [12]HOFERA A,EDLINGER M,HUMMER M,et al. Pa-tient outcomes in schizophrenia I:Correlates with socio-demographic variables,psychopathology,and side effects[J]. Eur Psychiatry,2005,20(5):386-394.
• [13]李海霞,周东升,胡珍玉,等.精神专科医院“以病人为中心”的一体化服务模式探讨[J].中医药管理杂志,2011,19(10):912-915.
• [14]李武,胡春凤,詹来英,等.精神分裂症患者自测健康状况及相关因素研究[J].精神医学杂志,2012,25(2):89-91.

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