双相情感障碍患者病耻感特征及其与疾病严重程度的关系研究  

The study on the relationship among clinical characteristics of stigma,depression episode and manic episode in patients with bipolar disorder

作　　者：刘玉莲[1] 尹冬青[1] 吴炜[1] 

机构地区：[1]首都医科大学附属北京安定医院3病区,北京市100088

出　　处：《中华护理杂志》2016年第12期1413-1416,共4页Chinese Journal of Nursing

摘　　要：目的调查住院双相情感障碍患者疾病发作期病耻感特征,及其与抑郁和躁狂发作的关系。方法采用问卷调查法,对北京市某三级甲等医院120例住院的双相情感障碍患者,使用Link病耻感系列量表、汉密尔顿抑郁量表和杨氏躁狂量表进行评定。结果双相情感障碍患者贬低-歧视感知量表得分为(2.60±0.31)分、病耻感应对量表得分为(2.77±0.27)分,均高于量表中点分值,且差异有统计学意义(P<0.05);抑郁严重程度与贬低-歧视感知量表得分(r=0.219)、病耻感情感体验量表得分(r=0.284)呈正相关,躁狂严重程度与贬低-歧视感知量表得分(r=-0.275)、病耻感情感体验量表得分(r=-0.302)呈负相关。结论双相情感障碍患者发作期存在较高的感知-病耻感水平,病耻感应对方式更加退缩;处于抑郁临床相的患者病耻感感知、病耻感情感体验更加明显,而应对方式更加消极,需要引起医护人员的重视。Objective To investigate the clinical characteristics of stigma in patients with bipolar disorder（BD） and the relationship among depression episode,manic episode and stigma. Methods Totally 120 hospitalized patients with BD were assessed by Link＇s Perceived Devaluation-Subscale,Coping-Orientation Subscale,Stigma-experience Subscale,Hamihon Depression Scale（HAMD） and Young Manic Rating Scale（YMRS） in a tertiary hospital in Beijing. Results Patients with BD had high scores in Perceived Devaluation-Subscale （2.60±0.31） and Coping-Orientation Subscale （2.77±0.27）,and significantly statistical differences were observed in those two Subscales. Positive correlation was observed between scores of HAMD and scores of Perceived Devaluation-Subscale（r=-0.219） and Stigma-experience Subscale（r=0.284） ,and there was a negative correlation between the scores of YMRS and scores of Perceived Devaluation-Subscale（r=-0.275） and Stigma-experience Subscale （r=-0.302）. Conclusion There was a higher level of perceived devaluation in the episode of BD,but a passive coping orientation. Patients with BD in depressive phase had a higher level of perceived devaluation and stigma experience,and worse coping orientation,which more attention should be paid by medical workers.

关 键 词：双相情感障碍 病耻感 疾病严重程度 

分 类 号：R473.74[医药卫生—护理学]