新冠肺炎愈后患者病耻感水平现状及影响因素分析  

Status Quo of Stigma in Patients Recovered from COVID-19 and An Analysis on Influencing Factors

作　　者：王婷 农菲[1] 杨莉[1] 颜婵[1] WANG Ting;NONG Fei;YANG Li;YAN Chan(Guangzhou Eighth People's Hospital,Guangzhou,Guangdong 510060)

机构地区：[1]广州市第八人民医院,广东广州510060

出　　处：《上海护理》2020年第10期28-31,共4页Shanghai Nursing

摘　　要：目的了解新冠肺炎愈后患者病耻感现状并分析其影响因素,为提高愈后患者心理健康提供参考。方法采用便利抽样法,于2020年2—3月选取我国新冠肺炎愈后患者142例作为研究对象,运用一般资料问卷、社会影响量表、社会支持量表进行调查。采用单因素方差分析及t检验比较不同人口学特征的新冠肺炎愈后患者病耻感得分情况;采用Pearson相关分析探讨病耻感与社会支持之间的相关性;运用多重线性回归分析其影响因素。结果142例患者病耻感总得分为(54.83±9.63)分;得分从低到高的维度依次是经济不安全感、内在羞耻感、社会隔离及社会排斥。社会支持总得分为(36.73±12.75)分,经Pearson相关分析结果显示,社会支持与病耻感存在负相关。单因素分析结果显示,年龄、性别、文化程度、居住地、家庭总收入等因素对新冠肺炎愈后患者病耻感水平有一定影响。多因素分析结果显示,年龄、文化程度、家庭总收入、社会支持对新冠肺炎愈后患者产生主要影响,共可解释总变异的32.7%。结论新冠肺炎愈后患者病耻感水平较高,应引起护理人员的高度重视,且应重点关注年轻、女性、文化程度较高、家庭总收入较高以及社会支持水平较低的愈后患者。Objective To understand the status quo of stigma in patients recovered from COVID-19 and analyze the influencing factors,so as to provide a reference for improving the mental health of recovered patients.Methods A total of 142 patients recovered from COVID-19 in China from February to March 2020 were selected by convenience sampling,and investigated by using a general information questionnaire,social impact scale and social support scale.One-way ANOVA and t-test were used to compare the scores of stigma in patients recovered from COVID-19 with different demographic characteristics;Pearson correlation analysis was used to investigate the correlation between stigma and social support;multiple linear regression was used to analyze the influencing factors.Results The total score of stigma in 142 patients was(54.83±9.63)points;the dimensions of scores from low to high were economic insecurity,internalized shame,social isolation and social exclusion.The total score of social support was(36.73±12.75)points.Pearson correlation analysis showed that there was a negative correlation between social support and stigma.One-way ANOVA showed that the factors such as age,gender,education level,residence,and household income had some effects on the stigma in patients recovered from COVID-19.Multi-way ANOVA showed that the factors such as age,education level,household income,and social support had a main effect on the stigma in patients recovered from COVID-19,explaining 32.7%of the total variation.Conclusion Patients recovered from COVID-19 have a higher level of stigma,which should be highly concerned by nurses;besides,attention should be paid to young patients,female patients,and the patients with higher education level,higher household income and lower social support.

关 键 词：新型冠状病毒肺炎 愈后患者 病耻感 现状调查 影响因素分析 

分 类 号：R473.51[医药卫生—护理学]