探视行为与强制性住院治疗精神病患者社会支持度及治疗效果的相关性研究  

Study on the relationship between visiting behavior and social support,therapeutic effect of compulsorily hospitalized psychotic patients

作　　者：王美 郝军锋 黄淑燕 崔倩 刘佳 Wang Mei;Hao Junfeng;Huang Shuyan;Cui Qian;Liu Jia(Mental Hospital of Guangzhou Civil Affairs Bureau,Guangzhou 510430,China)

机构地区：[1]广州市民政局精神病院,510430

出　　处：《国际医药卫生导报》2020年第23期3678-3682,共5页International Medicine and Health Guidance News

摘　　要：目的调查强制性住院精神病患者家属探视情况,评估患者社会支持度及病情;并分析探视行为与之的关系,为精神科临床治疗及护理提供依据。方法选取2018年12月在本院强制医疗所住院治疗的精神病患者共151例,根据1年内有无家属探视分为研究组92例和对照组59例。选用自制基础问卷收集两组患者一般人口学资料,选用自制探视情况调查表收集研究组探视相关信息,选用领悟社会支持量表(PSSS)、护士用简明精神病量表(N-BPRS)、护士用住院患者观察量表(NOSIE-30)等对两组患者进行社会支持度及病情等方面的评估比较,并对探视行为与研究组各临床特征之间的相关性进行pearson相关分析。结果研究组参与探视的人员主要以一级亲属(父母、配偶、子女等)为主(55.4%);探视频率偏低,多为3个月1次(54.3%);探视主要以提供物质帮助为主(94.6%)。研究组领悟社会支持量表总分明显高于对照组(t=3.104,P=0.002),护士用简明精神病量表总分明显低于对照组(t=-3.390,P=0.001);研究组在护士用住院患者观察量表方面明显低于对照组的为激惹因子(t=4.092,P<0.001)、精神病表现因子(t=3.163,P=0.002)、总消极因素评分(t=2.471,P=0.015)。相关性方面,探视者关系与领悟社会支持量表评分(r=0.638,P=0.003)及护士用住院患者观察量表中总消极因素评分(r=0.717,P=0.023)等正相关;探视频率与领悟社会支持量表评分(r=-0.517,P<0.001)、护士用住院患者观察量表中激惹因子(r=-0.682,P=0.043)、抑郁因子(r=0.727,P=0.003)、总消极因素(r=-0.634,P=0.050)等正相关。结论强制性住院治疗精神病患者社会支持度偏低;增加该类人群一级亲属的探视频率,可以提高该人群的社会支持度并有助于改善精神疾病病情,值得借鉴及推广。Objective To investigate the visiting situation of the family members of compulsorily hospitalized psychotic patients,evaluate the social support degree and the condition of the patients,and analyze their relationship with the visiting behavior,so as to provide the basis for the clinical treatment and nursing of psychiatry department.Methods A total of 151 hospitalized psychotic patients in compulsory medical service center of our hospital in December 2018 were selected,and were divided into study group of 92 cases and control group of 59 cases according to whether there was family visit within one year.Self-made basic questionnaire was used to collect general demographic data of the two groups of patients,self-made visiting questionnaire was used to collect visiting related information of the study group,PSSS,N-BPRS,and NOSIE-30 were used to evaluate and compare the social support and condition of the two groups of patients,and Pearson correlation analysis was used to evaluate the correlation between visiting behavior and the clinical features of the study group.Results The first-degree relatives(parents,spouse,children,etc.)were the main visiting participants in the study group(55.4%);the visiting frequency was low,mostly once every three months(54.3%);the main purpose of visiting was to provide material assistance(94.6%).The total score of PSSS in the study group was significantly higher than that in the control group(t=3.104,P=0.002);the total score of N-BPRS in the study group was significantly lower than that in the control group(t=-3.390,P=0.001);the scores of irritation factor,psychiatric performance factor,and total negative factors of NOSIE-30 in the study group were significantly lower than those in the control group(t=4.092,P<0.001;t=3.163,P=0.002;t=2.471,P=0.015).In terms of correlation,visitor relationship was positively correlated with PSSS score,the score of total negative factors of NOSIE-30(r=0.638,P=0.003;r=0.717,P=0.023),the visiting frequency was positively correlated with PSSS score,the scor

关 键 词：探视行为 强制性 精神病 社会支持 

分 类 号：R473.74[医药卫生—护理学]