老年期晚发精神分裂症患者的复发情况与家庭关怀度、社会支持度和自我效能感的关系  

The relationship between recurrence of elderly late-onset schizophrenia and family care,social support and self-efficacy

作　　者：邓倩君 陈钊 邓凤坚 刘梅 DENG Qian-jun;CHEN Zhao;DENG Feng-jian;LIU Mei(Mental Hospital of Guangzhou Civil Affairs Bureau,uangzhou,Guangdong,510430,China;Department of Psychiatry,Guangzhou Kangning Hospital,Guangzhou,Guangdong,510000,China)

机构地区：[1]广州市民政局精神病院,广东广州510430 [2]广州市康宁医院精神科,广东广州510000

出　　处：《中西医结合护理（中英文）》2020年第11期96-99,共4页Journal of Clinical Nursing in Practice

摘　　要：目的分析老年期晚发精神分裂症患者的复发情况与家庭关怀度、社会支持度和自我效能感的关系。方法选取2016年1月-2019年6月广州市民政局精神病院收治的老年期晚发精神分裂症患者l62例,根据精神分裂症患者的复发情况分为复发组(70例)和非复发组(92例)。采用家庭关怀度指数测评表、社会支持量表和一般自我效能感量表进行问卷调查。根据患者的自我效能感评分分为自我效能感低水平组(71例)、中等水平组(59例)和高水平组(32例)。分析家庭关怀度、社会支持度与自我效能感和复发的相关性。结果复发组的家庭关怀度指数,社会支持度评分和自我效能感评分均显著低于非复发组(P值均<0.05)。自我效能感低水平组的家庭关怀度指数.社会支持度评分均显著低于中等水平组和高水平组(P值均<0.05)。家庭关怀度指数、社会支持度评分与自我效能感评分成正相关(r=0.325,0.533,P值均<0.001)。家庭关怀度指数,社会支持度评分与患者精神分裂症复发成负相关(r=-0.405、-0.469,P值均<0.001)。结论家庭关怀度、社会支持度与老年期晚发精神分裂症患者的自我效能感和病情复发存在密切关系,给予患者良好的家庭关怀和社会支持,或许能提高患者自我效能感,降低复发风险。Objective To analyze the relationship between recurrence of elderly late-onsetschizophrenia and family care,social support and self-efficacy.Methods A total of 162 elderlypatients with late-onset schizophrenia admitted to Mental Hospital of Guangzhou Civil AffairsBureau from January2016 and June 2019 were selected.According to the recurrence ofschizophrenia,they were divided into the recurrence group(70 cases)and the non-recurrencegroup(92 cases).The Family APGAR(Adaptation,Partnership,Growth,Affection,Resolve)Questionnaire,Social Support Rating Scale(SSRS)and General Self-Efficacy Scale(GSES)were conducted.According to the self-efficacy score,the patients were divided into the low-levelself-efficacy group(71 cases),middle-level group(59 cases)and high-level group(32 cases).The correlation between recurrence and family care,social support and self-efficacy was analyzed.Results The scores of Family APGAR index,SSRS and GSES of the recurrence group weresignificantly lower than those of the non-recurrence group(all P<0.05).The scores of Family APGAR index and SSRS of the low-level group were significantly lower than those of the middle-level group and the high-level group(all P<0.05).The scores of Family APGAR index and SSRs were positively correlated with GSES score(r=0.325,0.533,both P<0.001),but theywere negatively correlated with the recurrence of schizophrenia(r=-0.405,-0.469,both P<0.001).Conclusion Family care and social support are closely related to the self-efficacy andrecurrence in elderly patients with late-onset schizophrenia.Giving patients good family care andsocial support may improve their self-efficacy and reduce the risk of recurrence.

关 键 词：老年期晚发精神分裂症 复发 家庭关怀度 社会支持度 自我效能感 

分 类 号：R47[医药卫生—护理学]