双相情感障碍患者家属病耻感与希望水平的关系研究  

The relationship between stigma and hope in the relatives of patients with bipolar disorder

作　　者：刘玉莲[1] 尹冬青[1] LIU Yu-lian;YIN Dong-qing(Beijing Key Laboratory of Mental Illness Diagnosis and Treatment,the National Research Center for Clinical Medicine of Mental Disorders,Beijing Anding Hospital of Capital Medical University,Beijing 100088,China)

机构地区：[1]首都医科大学附属北京安定医院精神科,国家精神心理疾病临床医学研究中心,精神疾病诊断与治疗北京市重点实验室,北京市100088

出　　处：《护理管理杂志》2018年第3期207-209,217,共4页Journal of Nursing Administration

基　　金：北京市医院管理局临床医学专业发展项目(ZYLX201607)

摘　　要：目的探讨住院双相情感障碍患者家属病耻感与希望的特征,并分析二者的关系。方法运用Link病耻感系列量表和Herth希望量表对北京市某三级甲等医院95例住院的双相情感障碍患者家属进行问卷调查。结果双相情感障碍患者家属在贬低-歧视贬低感量表得分为(2.57±0.27)分,与量表均值比差异有统计学意义(P<0.05);双相情感障碍患者家属的希望水平得分为(34.83±5.72)分,贬低-歧视贬低感与对现实和未来的积极态度、采取积极的行动、与他人保持亲密关系及希望总分呈负相关。结论双相情感障碍患者家属存在明显病耻感和较高希望水平,病耻感是希望水平的影响因素,护理人员通过提高家属的希望水平促进患者康复。Objective To investigate the characteristic of stigma and hope of the patients with bipolar disorder(BD)and the relationship between them.Methods A total of 95 in-patients with BD were assessed by Link's Perceived Devaluation-Subscale and the Herth Hope Scale.Results The denial-discrimination perception score in the relatives of patients with bipolar disorder was(2.57±0.27),compared with the mean of the scale(P<0.01).Bipolar disorder patients'families hope level score was(34.83±5.72),which was negatively correlated with belittled feeling of denial-discrimination,positive attitude towards the reality and future,taking positive action,keeping close relationship with others and hope.Conclusion There was a higher level of perceived devaluation and hope in relatives of in-patients with BD.Stigma was the influencing factor for hope.Nursing staff should pay more attention to the stigma and the level of hope,which would help patients'recovery.

关 键 词：双相情感障碍 患者家属 病耻感 希望 

分 类 号：R473.74[医药卫生—护理学]