精神障碍患者入院态度与自知力的相关研究  

Admission Attitude and Insight in Patients with Mental Disorders

作　　者：李庆霞[1] 张丽[1] 陈景清[1] 张宇[1] 曹中昌[1] 李功迎[1] 

机构地区：[1]济宁市精神病防治院精神科,山东济宁272051

出　　处：《护理学杂志》2006年第3期21-23,共3页

基　　金：山东省卫生厅计划课题(2001CA1CEA3)

摘　　要：目的了解精神障碍患者的入院态度并探讨其与自知力的关系。方法对158例精神分裂症、81例抑郁症、64例躁狂症患者的入院态度和自知力进行评估,并做相关分析。结果精神分裂症、抑郁症、躁狂症患者的自愿入院率分别为12.7%、32.1%、10.9%,劝说入院率分别为65.1%、53.1%、51.6%,强迫入院率22.2%、14.8%、37.5%;3种疾病的自知力评分为2.17±1.82、7.43±1.80、2.64±2.22;3种疾病入院态度与其自知力均呈正相关关系(r=0.89、0.70、0.91,均P<0.01)。结论自知力评分越好,入院态度越好,自知力是影响精神病患者入院态度的主要因素。Objective To explore the relationship between admission attitude and insight in patients with mental disorders. Methods Admission attitude and insight in 158 patients with schizophrenia, 81 with depression and 64 with mania were assessed, then their relationship was analyzed. Results Voluntary admission rates were 12.7% in patients with schizophrenia, 32. 1%, in depression and 10.9% in mania, involuntary admission rates were 65. 1%, 53.1% and 51.6%, compulsory admission rates were 22. 2%, 14.8% and 37.5%, rating scores for insight were 2. 17± 1.82. 7.43±1.80 and 2.6± 2.22, respectively. There was a significantly negative correlation between admission attitude and insight in all 3 types of patients, with the coefficient being 0.89、0. 70 and 0.91 （P〈0.01 ） respectively. Conclusion When rating scores for in,sight was better, admission attitude was better. Insight is the main factor that influences admission attitude in patients with mental disorders.

关 键 词：精神障碍 自知力 入院态度 数据收集 

分 类 号：R473.74[医药卫生—护理学]