婚姻支持对精神分裂症患者社会功能的影响  

Effect of marital supports on social function in schizophrenia patients

作　　者：陈景清[1] 张金响[1] 冯俊慧[1] 

机构地区：[1]济宁市精神病防治院,山东济宁272051

出　　处：《中国行为医学科学》2007年第12期1093-1095,共3页Chinese Journal of Behavioral Medical Science

摘　　要：目的探讨婚姻支持对精神分裂症患者社会功能的影响。方法采用Olson婚姻质量问卷、社会功能缺陷筛选量表（SDSS）和简明精神病评定量表（BPRS）对198例临床痊愈出院后2年的精神分裂症患者的婚姻质量、精神症状严重程度、社会功能进行评定。结果198例患者的Olson平均分为（334．68±22．36）分，根据有无结婚以及Olson平均分为界限，分高婚姻质量组[Olson≥（334．68±22．36）分]68例，低婚姻质量组[Olson〈（334．68±22．36）分]78例，无配偶组52例。无配偶组SDSS评分高于高婚姻质量组和低婚姻质量组（P〈0．01），低婚姻质量组高于高婚姻质量组（P〈0．01）；无配偶组服药依从性低于高婚姻质量组和低婚姻质量组（P〈0．05），高婚姻质量组高于低婚姻质量组（P〈0．05）；无配偶组BPRS总分及各因子分高于高婚姻质量组和低婚姻质量组（P〈0．01），低婚姻质量组高于高婚姻质量组（P〈0．01）。Olson婚姻质量问卷中婚姻满意度、性格相容性、夫妻交流、解决冲突方式、性生活、角色平等因子分与SDSS总分呈显著负相关（P〈0．05）。结论婚姻支持对维持和改善精神分裂症患者的病情和社会功能有重要影响，医护人员应注意引导患者和配偶增强主动寻求和利用婚姻支持的意识，以提高患者的康复效果和社会功能。Objective To explore the effect of marital supports on social function in schizophrenia pa- tients. Methods 198 clinical recovery, schizophrenic patients were evaluated with Olson Marital Quality Ques-tionnaire, Social Disability Screening Schedule （SDSS） and Brief Psychotic Assessment Scale （BPRS）, after leaving hospital two years. Results According to married whether or not and the average score of Olson （334.68±22.36）, 198 patients were divided into high marital quality group （Olson≥334.68±22.36, 68 cases） and low marital quality group （Olson 〈 334.68±22.36, 78 cases） , no spouse group（52 cases）. In no spouse group, the total score of SDSS were significantly higher than those in high marital quality group and low marital quality group （ P〈0.01 ）, and the compliance with drug was significantly lower than that in high marital quality group and low marital quality group （ P〈 0.05 ）. In high marital quality group, the compliance with drug was significantly higher than that in high marital quality group （ P 〈 0.05 ）. In no spouse group, the total score of BPRS and each factor score were significantly higher than those in high marital quality group and low marital quality group （ P 〈 0.01 ）. In low marital quality group, the total score of BPRS and each factor score were significantly higher than those in high marital quality group （ P〈 0.01 ）. The total score of SDSS was negatively correlated with satisfaction of marriage, compatibility of character, inter-couple communication, conflict-solving style, sex life, roles equality of Olson Marital Quality （ P 〈 0.05 ）. Conclusions The marital supports are very important for maintenance and improving the social function and pathogenetic condition in schizophrenia patients. The staff should guide patients and their spouses to strengthen the consciousness of initiative exploration, reasonable utilization marital supports, in order to improve rehabilitation efficacy and social function.

关 键 词：精神分裂症 婚姻支持 社会功能 

分 类 号：R686[医药卫生—骨科学]