基于健康生态学模型的稳定期女性精神分裂症患者生育忧虑现状及影响因素分析  

Reproductive Concerns in Female Schizophrenic Patients in Stable Phase Based on Health Ecology Model:Status Quo and Its Influencing Factors

作　　者：于凯 王宇 王晓庆 张臣臣 周郁秋[1] 侯冬玉[3] 张维肖 YU Kai;WANG Yu;WANG Xiaoqing;ZHANG Chenchen;ZHOU Yuqiu;HOU Dongyu;ZHANG Weixiao(School of Nursing,Harbin Medical University,Harbin 150081,Heilongjiang Province,China;Nursing Department,Fuwai Central China Cardiovascular Hospital,Zhengzhou 451464,Henan Province,China;Orthopedics DepartmentⅠ,The Second Affiliated Hospital of Harbin Medical University,Harbin 150086,Heilongjiang Province,China;School of Basic Medicine,Zhongshan Campus of Hebei Medical University,Shijiazhuang 050011,Hebei Province,China)

机构地区：[1]哈尔滨医科大学护理学院,黑龙江哈尔滨150081 [2]阜外华中心血管病医院护理部,河南郑州451464 [3]哈尔滨医科大学附属第二医院骨一科,黑龙江哈尔滨150086 [4]河北医科大学中山校区基础医学院,河北石家庄050011

出　　处：《军事护理》2023年第10期25-29,共5页MILITARY NURSING

基　　金：国家自然科学基金项目(72074063)。

摘　　要：目的探究稳定期女性精神分裂症患者生育忧虑现状及影响因素,为临床工作者制订针对性干预方案提供证据支持。方法2021年10月至2022年6月,采用便利抽样法选取黑龙江省两所精神专科医院门诊及住院部稳定期女性精神分裂症患者300例为研究对象,采用一般资料调查表、中文版癌症后生育忧虑量表、心理韧性量表、痛苦表露指数量表、家庭功能问卷、社会支持量表对其进行调查。结果300例女性精神分裂症患者生育忧虑总分为(56.09±9.92)分。心理韧性、自我表露、家庭功能、社会支持得分依次为(59.33±12.71)、(33.95±9.12)、(5.73±3.10)、(48.87±9.52)分。不同年龄、家族史、复发次数等的女性精神分裂症患者生育忧虑总分差异均有统计学意义(均P<0.05)。心理韧性、自我表露、家庭功能、社会支持与生育忧虑均呈负相关(均P<0.01)。年龄、复发次数、生育意愿、痛苦表露、心理韧性、社会支持,家庭人均月收入是稳定期女性精神分裂症患者生育忧虑的主要影响因素(均P<0.05)。结论降低稳定期女性精神分裂症患者生育忧虑水平应从个人、家庭、医疗环境三方面着手,还需考虑不同环境因素的交互作用。Objective To explore the status quo of reproductive concerns in female schizophrenic patients in stable phase and its influencing factors,and to provide a basis for targeted intervention plans in clinical settings.Methods From October 2021 to June 2022,300 female patients with schizophrenia in stable phase in outpatient and inpatient departments of two psychiatric hospitals in Heilongjiang Province were selected by the convenience sampling method.All of the patients were investigated with the general information questionnaire,Chinese version of reproductive concern after cancer scale(RCAC),Connor-Davidson resilience scale(CD-RISC),distress disclosure index(DDI),family function questionnaire and social support scale(SSS).Results The total score of reproductive concern in 300 female patients with schizophrenia was(56.09±9.92).The scores of psychological resilience,self-disclosure,family function and social support were(59.33±12.71),(33.95±9.12),(5.73±3.10)and(48.87±9.52),respectively.There were statistically significant differences in the total score of reproductive concern among female schizophrenia patients with different ages,family history,recurrence times(all P<0.05).Resilience,self-disclosure,family function and social support were negatively correlated with reproductive concern(all P<0.01).Age,number of relapses,fertility intention,pain disclosure,psychological resilience,social support,and family per capita monthly income were the main influencing factors of reproductive concerns in stable female patients with schizophrenia(all P<0.05).Conclusion Interventions to address the reproductive concerns of women with schizophrenia in stable phase should be developed in three areas:the patient herself,the patient’s family,and medical environment,and the interaction of different environmental factors should be considered.

关 键 词：女性 稳定期精神分裂症 生育忧虑 影响因素 健康生态学模型 

分 类 号：R473.74[医药卫生—护理学]