住院恢复期精神分裂症患者自我管理能力的影响因素分析及对策  

Influencing factors and countermeasures of self-management ability of convalescent schizophrenia inpatients

作　　者：徐华 张燕红[1] 陈兆红[1] 曹香[1] Xu Hua;Zhang Yanhong;Chen Zhaohong;Cao Xiang(The Affiliated Brain Hospital of Nanjing Medical University , Nanjing Jiangsu 210029)

机构地区：[1]南京医科大学附属脑科医院

出　　处：《护士进修杂志》2019年第17期1545-1548,共4页Journal of Nurses Training

基　　金：江苏省卫生计生委医学科研课题(编号:N2017006);江苏省南京脑科医院院内课题(编号:HLKT-2018-002)

摘　　要：目的了解住院恢复期精神分裂症患者自我管理能力的现状,识别患者一般资料中对自我管理能力的影响因素,并制定相应对策。方法运用精神分裂症患者自我管理量表,对我院137例恢复期精神分裂症患者进行调查,采用一般状况调查表调查患者的基本情况,精神分裂症患者自我管理量表(SSMIS)调查患者的自我管理能力。结果该组患者的自我管理能力得分(77.40±20.21)分。其中维持日常生活及社会功能得分最高,其次为服药依从性。单因素分析显示,不同的年龄、婚姻、文化程度、病程、照顾者、住院次数患者之间的自我管理得分的差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄、婚姻、住院次数、病程、有无家属照顾是影响患者自我管理能力的独立危险因素(P<0.05)。结论住院恢复期精神分裂症患者自我管理能力有待提高,应针对其可干预的影响因素进行管理,以提高患者的自我管理能力,促进病情的康复。Objective To explore the influencing factors of self-management ability of convalescent schizophrenia inpatients and make countermeasures. Methods 137 convalescent schizophrenia inpatients from one of Nanjing psychiatric hospitals admitted to our department were selected as the research objects. The general condition questionnaire was used to investigate the basic condition of the patients, and the self-management ability of the patients was investigated with the Self-management scale for schizophrenics(SSMIS). Univariate and multivariate logistic regression analysis was used to analyze the influencing factors which may affect the management ability of patients. Results The self-management ability of the patients in the group was at medium level, with a score of 77.40±20.21. Among them, daily life and social function were the highest, followed by medication compliance. Univariate analysis showed that there were significant differences in self-management scores among patients of different ages, marriage, educational level, course of illness, caregivers and times of hospitalization(P<0.05). Multivariate logistic regression analysis showed that age, marriage, times of hospitalization, course of illness and family care were independent risk factors for self-management ability(P<0.05). Conclusion The self-management ability of convalescent schizophrenics inpatients needs to be improved. It is necessary to manage the influencing factors so as to improve the self-management ability and promote the rehabilitation of the patients.

关 键 词：住院恢复期 精神分裂症患者 自我管理能力 影响因素 护理对策 

分 类 号：R473.74[医药卫生—护理学]