儿童少年精神分裂症患者父母的依恋现状及影响因素分析  

Analysis of attachment status and influencing factors with the parents of childhood schizophrenia

作　　者：王垭[1] 黄浩[1] 刘争[1] 朱红[1] 杨涛[2] 黄霞[2] 黄秀梅 Wang Ya;Huang Hao;Liu Zheng;Zhu Hong;Yang Tao;Huang Xia;Huang Xiumei(Quality Control Office of Nursing Department of West China Hospital of Sichuan University/West China College of Nursing,Chengdu Sichuan 610041;Mental Health Center of West China Hospital of Sichuan University,Chengdu Sichuan 610041)

机构地区：[1]四川大学华西医院护理部质控办华西护理学院,四川成都610041 [2]四川大学华西医院心理卫生中心,四川成都610041

出　　处：《护士进修杂志》2019年第21期1929-1933,共5页Journal of Nurses Training

基　　金：四川省卫生和计划生育委员会项目(编号:YB20130072)

摘　　要：目的探讨儿童少年精神分裂症患者父母的依恋现状及影响因素,为促进患者的家庭干预提供一定的理论和现实依据。方法采用一般资料问卷、亲密关系经历量表、人际信任量表,于2018年1-12月在我院心理卫生中心住院的100例儿童少年精神分裂症患者父母进行问卷调查。结果儿童少年精神分裂症患者父母依恋回避因子得分(64.13±11.14)分,依恋焦虑因子得分(62.25±7.69)分,人际信任得分(69.00±24.84)分。以患者父母的依恋回避、依恋焦虑、人际信任为因变量,以患者家长的性别、婚姻状况、家族史、民族、居住地等为自变量分别进行单因素分析,结果显示:依恋焦虑在不同性别、不同民族(本研究中只有藏族)之间差异有统计学意义(t=2.375,P=0.020;t=2.388,P=0.019),依恋回避在有无家族史方面差异有统计学意义(t=2.134,P=0.035);依恋回避与人际信任呈负相关(r=-0.234,P<0.05)。结论儿童少年精神分裂症患者父母的依恋类型与国内研究一致,儿童少年精神分裂症患者父母的人际信任越高,则其依恋回避越低,父母的依恋情况直接影响患者的家庭氛围和教养方式。因此,在临床工作中,应重视患者家长的依恋情况,并进行针对性干预。Objective To study the attachment status and influence factors of the parents of childhood schizophrenia,and to provide the theoretical and practical basis for promoting family intervention.Methods 100 parents of childhood schizophrenia who were hospitalized in a mental health center in a third-grade general hospital from January to December 2018 was surveyed by using the general information questionnaire,experience in close relationship,and interpersonal trust scale in Chengdu.Results In the parents of childhood schizophrenia,the score of attachment avoidance factor was 64.13±11.14,the score of attachment anxiety factor was 62.25±7.69,and the score of interpersonal trust was 69.00±24.84.Taking the patient’s parents’attachment avoidance,attachment anxiety,and interpersonal trust as the dependent variables,Univariate analyze the parents’gender,marital status,family history,ethnicity,and place of residence as independent variables,The results show that attachment anxiety was statistically significant between different genders and different ethnic groups(only Tibetans in this study)(t=2.375,P=0.020;t=2.388,P=0.019),Attachment avoidance differs in the presence or absence of family history.There was statistical significance difference(t=2.134,P=0.035).Attachment avoidance,attachment anxiety and interpersonal trust were negatively correlated,and the correlation between attachment avoidance and interpersonal trust was statistically significant(r=-0.234,P<0.05).Conclusions The attachment type of parents of childhood schizophrenia is consistent with domestic research.The higher the interpersonal trust of parents of childhood schizophrenia,the lower their attachment avoidance.The attachment of parents directly affects the family atmosphere and parenting style.Therefore,attention should be paid to the attachment of the parents of childhood schizophrenia and targeted interventions should be conducted.

关 键 词：儿童少年精神分裂症 父母 依恋 人际信任 护理 

分 类 号：R473.74[医药卫生—护理学]