老年期精神分裂症社会支持度及其影响因素:基于144名连续抽样住院患者的横断面研究  

Factors influencing social support in elderly patients with schizophrenia:a cross⁃sectional study of 144 inpatients in Guangzhou

作　　者：叶君荣[1] 李玉琳 陈娇 陆雪玲 肖爱祥[1] 黄杏笑 王琛[4] 魏燕恒 杨航[3] 袁乐欣 YE Junrong;LI Yulin;CHEN Jiao;LU Xueling;XIAO Aixiang;HUANG Xingxiao;WANG Chen;WEI Yanheng;YANG Hang;YUAN Lexin(Department of Nursing Administration,Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou 510370,Guangdong,China;School of Nursing,Guangzhou Medical University,Guangzhou 510182,Guangdong,China;Department of Geriatric Psychiatry,Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou 510370,Guangdong,China;Department of Rehabilitation,Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou 510370,Guangdong,China)

机构地区：[1]广州医科大学附属脑科医院护理部,广东广州510370 [2]广州医科大学护理学院,广东广州510182 [3]广州医科大学附属脑科医院老年精神科,广东广州510370 [4]广州医科大学附属脑科医院康复科,广东广州510370

出　　处：《广州医科大学学报》2024年第2期14-18,共5页Academic Journal of Guangzhou Medical University

摘　　要：目的:探讨老年期精神分裂住院患者社会支持度及影响因素。方法:采用连续抽样的方法招募了2021年3月至2023年12月广州医科大学附属脑科医院老年精神科的144例精神分裂症住院患者作为研究对象,使用社会支持度量表(SSRS)调查患者社会支持情况,收集数据包括基本资料、精神症状情况等。结果:144例老年精神分裂症患者的SSRS总分为28.29±5.67,单因素分析结果显示,老年期精神分裂症患者社会支持的影响因素为病程,婚姻状况与照顾者(P<0.05)。多元线性回归结果显示,老年期精神分裂症患者的社会支持主要与主要照顾者(他人照顾)(β=2.836,95%CI:0.515~5.158,P=0.017),婚姻状况(无伴侣)(β=-2.725,95%CI:-4.627~-0.824,P=0.005),简明精神病量表(BPRS)中的敌对猜疑因素(β=-0.488,95%CI:-0.739~-0.250,P<0.001)有关。结论:受他人照顾、有伴侣与精神行为症状中的敌对猜疑是老年期精神分裂住院患者社会支持度的主要影响因素。Objective:To explore the influencing factors of social support in elderly schizophrenic inpatients.Methods:A total of 144 patients with schizophrenia admitted to Department of Geriatric Psychiatry in Affiliated Brain Hospital of Guangzhou Medical University from February 2021 to December 2023 were recruited as the research objects by the continuous sampling method.The social support of the patients was investigated by the Social Support Rating Scale(SSRS),and the data included the basic information and treatment of the patients.Results:The total score of the Social Support Rating of 144 elderly patients with schizophrenia was 28.29±5.67.Univariate analysis showed that the influencing factors of social support of elderly patients with schizophrenia were the course of disease,marital status and the main caregivers(P<0.05).The multivariate linear regression results showed that the social support of elderly patients with schizophrenia was mainly related with the main caregiver(dependent on a caregiver)(β=2.836,95%CI:0.515‒5.158,P=0.017),marital status(no partner)(β=-2.725,95%CI:-4.627 to-0.824,P=0.005)and hostility and suspicion in the Brief Psychiatric Rating Scale(β=-0.488,95%CI:-0.739 to-0.250,P<0.001).Conclusions:The social support was affected by dependent on a caregiver,partner,hostility and suspicion in mental and behavioral symptoms.

关 键 词：老年期 精神分裂症 社会支持度 横断面研究 

分 类 号：R749.3[医药卫生—神经病学与精神病学]