双相情感障碍患者自我效能感的相关因素研究  

Study on the Related Factors of Self Efficacy in Patients with Bipolar Disorder

作　　者：董湘萍[1] 尚倩倩[1] 张芸[1] 胥云霞[1] 陈立芳[1] Dong Xiangping;Shang Qianqian;Zhang Yun(Mianyang City Central Hospital,Mianyang,Sichuan 621600,China)

机构地区：[1]绵阳市中心医院神经内科,四川绵阳621000

出　　处：《四川医学》2019年第1期47-51,共5页Sichuan Medical Journal

摘　　要：目的探究影响双向情感障碍患者自我效能感的相关因素,为临床治疗提供理论依据。方法选取2014年4月至2016年9月于我院接受治疗的98例康复期双相情感障碍患者,以及同期的82名志愿者为研究对象,利用回顾性研究方法对患者进行研究。收集所有患者的一般资料(如年龄、性别、婚姻情况、是否能自理、当前发病情况以及支持者数目等),调查患者及志愿者的家庭情况并通过家庭功能评定量表、家庭亲密度及适应性量表进行评分,同时以问卷形式调查患者及志愿者自我效能感、病耻感以及自尊感、认知功能障碍情况,最后将收集的数据进行整理比较,并利用相关性研究方法对一般资料、病耻感、自尊感以及认知功能与自我效能感之间的相关性进行分析。结果患者自我效能感得分(22. 48±8. 02)分,家庭情况中FAD得分(2. 2±0. 5)分,FACES得分(47. 82±9. 20)分,病耻感(28. 56±4. 02)分,自尊感(24. 24±4. 92)分,认知功能(55. 42±7. 23)分;正常组自我效能感得分(25. 57±6. 11)分,家庭情况中FAD得分(1. 9±0. 3)分,FACES得分(50. 36±9. 03)分,病耻感(20. 13±3. 11)分,自尊感(28. 38±4. 25)分,认知功能(71. 46±4. 89)分,该差异具有统计学意义(P<0. 05)。研究患者的自理情况、重要支持者人数、家庭情况、病耻感以及认知功能得分与自我效能感存在相关性(P<0. 05),且自理情况、重要支持者人数、家庭情况、认知功能与自我效能感呈现正相关性,病耻感与自我效能感呈现负相关性。结论患者的自理情况、支持者数目、家庭情况、病耻感、自尊感以及认知功能等都会影响到双相情感障碍患者的自我效能感,且其中除病耻感外,其他项目均与自我效能感呈正相关,而病耻感与自我效能感呈负相关。Objective To explore the related factors of self-efficacy of patients with bipolar disorder,and to provide theoretical basis for clinical treatment.Methods 98 cases of patients in rehabilitation period from April 2014 to September 2016 in our hospital for the treatment of bipolar disorder,82 volunteers and over the same period as the research object,to study the patients by retrospective study method.The general data of all patients were collected(such as age,gender,marital status,whether can take care of themselves,the incidence and number of supporters),family survey of patients and volunteers and the family function scale,family cohesion and adaptability questionnaire score,and questionnaire survey of patients and volunteers Self-Efficacy Sense of stigma and self-esteem,cognitive dysfunction,and finally will collect the data,and the correlation between the general information,stigma,self-esteem,cognitive function and self-efficacy by correlation analysis method.Results The patients self-efficacy score(22.48±8.02)points,the score of FAD family in(2.2±0.5),FACES score(47.82±9.20),(28.56±4.02)stigma and self-esteem of the(24.24±4.92),(55.42±7.23)cognitive function;normal group self-efficacy score(25.57±6.11)points,the score of FAD family in(1.9±0.3)points,FACES score(50.36±9.03),(20.13±3.11)stigma and self-esteem of the(28.38±4.25),(71.46±4.89)cognitive function score,the difference was statistically significant(P﹤0.05).Study on the correlation between patients self-care,an important number of supporters,family situation,stigma and cognitive function scores and self-efficacy exist(P﹤0.05),and self-care,an important number of supporters,family status,cognitive function and self-efficacy showed a positive correlation between stigma and self-efficacy showed a negative correlation.Conclusion Patients with self-care,the number of supporters,family situation,stigma,self-esteem and cognitive function will affect patients with bipolar disorder and self-efficacy,which in addition to stigma,other projects a

关 键 词：双向情感障碍 自我效能感 相关因素研究 

分 类 号：R749.4[医药卫生—神经病学与精神病学]