精神障碍患者与父母沟通状况调查  

The Communication Analysis of the Mental Disorders with Their Parents

作　　者：张志荣 武大胜 王茂萍 张志香[3] 韩富英 

机构地区：[1]河北张家口市沙岭子医院,中国075131 [2]张家口市卫生局 [3]张家口市解放军第251医院放疗中心

出　　处：《中国健康心理学杂志》2014年第4期490-492,共3页China Journal of Health Psychology

摘　　要：目的了解精神障碍患者与父母的沟通状况。方法采用自编调查表对2013年1—4月的门诊及住院已确诊并符合入组条件的48例精神障碍患者(患者组)进行相关情况调查。同时,将31例实习生、陪护人员作为健康对照(对照组)进行调查。每个问题均有从不、偶尔、经常、总是4个选项。结果患者中只有26.19%(11/42)的父母经常给他们讲故事,28.57%(12/42)的父母经常与孩子聊天,28.57%(12/42)的父母经常与孩子谈心,28.57%(12/42)的孩子愿意与父母说心里话,33.33%(14/42)的孩子犯错被批评时父母会翻陈年旧帐;与健康对照相比,精神障碍患者的父母很少与他们聊天(χ2=8.99,P=0.03)、谈心(χ2=8.74,P=0.03),而且他们犯错时父母不能就事论事,会翻陈年旧帐(χ2=9.19,P=0.03),差异均有统计学意义(P<0.05)。结论父母与子女的沟通状况直接影响孩子的心理健康。父母无主动意愿与孩子聊天、谈心,批评指责多于宽容、理解,易加大孩子与父母之间的距离,加重孩子的孤独无助感,逐渐自我封闭,出现精神异常。Objective To understand the communication status of the mental disorders with their parents. Methods The 48 cases of eligible outpatients and inpatients with mental disorders diagnosed in January 2013 to April 2013 were selected as the patients group. At the same time,31 cases of interns and attendants were selected as healthy controls（ control group）. All the subjects were surveyed by the self-made questionnaire form. Each question had four options： Never, sometimes, often and always. We granted 79 questionaires,70 of which were qualified. The qualified rate was 88.6%. Variables of 2 groups were compared by X2 test, and the difference was considered significant at P 〈 0.05. Results In patients group, only 26.19% （ 11/42 ）of the parents often told their children stories ,28.57% （ 12/ 42 ）of parents often chat with children, 28.57% （ 12/42 ）of parents often confabulated with children, 28.57% （ 12/42 ）of children were willing to speak their mind, 33.33 % （ 14/42 ）of the children were criticized with old grievances when made mistakes;compared with con- trol group ,the parents of mental disorders seldom chat with them（ X2 = 8.99 ,P = 0.03 ） ooze（ X2 = 8.74 ,P = 0.03 ）, and when they made mistakes, parents brought up the old instead of dealt with current situation（ X2 = 9.19 ,P = 0.03 ）, a statistically significant difference（ P 〈 0.05 ）. Conclusion The communication conditions between parents and children directly affect a child~ mental health. Parents with criticism more than tolerance and understanding who has no intention to take the initiative to chat and talk with their children was easy to increase the distance between parents and children and increase the child＇s feeling of lonely helplessness ,which made children self closed and result in psychological problem.

关 键 词：精神障碍 沟通状况 父母 精神卫生 

分 类 号：R749.7[医药卫生—神经病学与精神病学]