中青年缓解期精神分裂症患者社会疏离感及其影响因素  

Social alienation and its influencing factors in middle-aged and young patients with schizophrenia in remission

作　　者：徐亚南[1] 陈永新[1] 栗文娟 陶梦阳 郭飞 杨世昌[1,2] XU Yanan;CHEN Yongxin;LI Wenjuan;TAO Mengyang;GUO Fei;YANG Shichang(The Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,China;Xinxiang Medical University Psychosis Combination of Chinese Traditional andWestern Medicine Clinical Center,Xinxiang 453002,China)

机构地区：[1]新乡医学院第二附属医院,新乡453002 [2]新乡医学院精神疾病中西医结合临床医学中心,新乡453002

出　　处：《广西医科大学学报》2024年第8期1187-1192,共6页Journal of Guangxi Medical University

基　　金：2023年河南省研究生教育改革与质量提升工程项目(No.YJS2023AL060);2022年全国医药学研究生在线课程建设与教学研究课题资助项目(No.202274)。

摘　　要：目的:探讨中青年缓解期精神分裂症(SZ)患者社会疏离感及其影响因素以及与家庭亲密度、病耻感、生活掌控感相关性。方法:采用便利抽样法抽取2021年1月至2022年4月在新乡医学院第二附属医院门诊复查的320例中青年缓解期SZ患者,采用一般资料调查表、一般疏离感量表、生活掌控感量表、家庭亲密度量表、病耻感量表分别调查患者的基本信息、社会疏离感、生活掌控能力、家庭亲密程度以及病耻感;利用多元线性回归分析中青年缓解期SZ患者社会疏离影响因素,采用Pearson相关分析方法分析中青年缓解期SZ患者社会疏离感和生活掌控感、病耻感、家庭亲密度之间的相关性。结果:多元线性逐步回归分析结果显示,一年内住院次数、生活掌控感、病耻感、家庭亲密度是中青年缓解期SZ患者社会疏离感的影响因素(t=4.614~-4.553,P<0.05);生活掌控感和家庭亲密度与中青年缓解期SZ患者社会疏离感总分及各维度指标呈显著负相关关系(r=-0.341~-0.018;-0.348~-0.149,均P<0.05),病耻感与中青年缓解期SZ患者社会疏离感总分及各维度指标呈显著正相关关系(r=0.364~0.127,均P<0.05)。结论:一年内住院次数、病耻感、生活掌控感、家庭亲密度是影响中青年缓解期SZ患者社会疏离感的独立影响因素,且生活掌控感和家庭亲密度与中青年缓解期SZ患者社会疏离感呈显著负相关关系,病耻感与中青年缓解期SZ患者社会疏离感呈显著正相关关系,应对其予以有针对性的干预,从而改善其社会融入问题。Objective:To explore the social alienation and its influencing factors of social alienation in middle-aged and young patients with schizophrenia(SZ)in remission stage,as well as their correlation with family inti-macy level,sense of shame,and sense of life control.Methods:A total of 320 middle-aged and young SZ pa-tients in remission were selected by convenience sampling from those reviewed at the outpatient department of the Second Affiliated Hospital of Xinxiang Medical University from January 2021 to April 2022.The patients’ba-sic information,social alienation,life control ability,family intimacy level,and disease-related shame level were investigated using the general information survey form,general isolation scale,personal mastery scale,family co-hesion scale,and disease shame scale.Multiple linear regression analysis was used to analyze the influencing fac-tors of social alienation in middle-aged and young SZ patients in remission.Pearson correlation analysis was used to analyze the correlation between social alienation,sense of life control,sense of shame,and family intimacy lev-el in middle-aged and young SZ patients during the remission period.Results:The results of multiple linear step-wise regression analysis showed that the number of hospitalizations within one year,sense of life control,sense of shame,and family intimacy level were the influencing factors of social alienation in middle-aged and young SZ patients in remission(t=4.614 to-4.553,P<0.05).The sense of life control and family intimacy level were significantly negatively correlated with the total score and various dimensional indicators of social alienation in middle-aged and young SZ patients in remission(r=-0.341 to-0.018;-0.348 to-0.149;P<0.05),while the sense of shame was significantly positively correlated with the total score and various dimensional indicators of social alienation in middle-aged and young SZ patients in remission(r=0.364 to 0.127,P<0.05).Conclusion:The num-ber of hospitalizations within one year,sense of shame,sense

关 键 词：中青年 缓解期 精神分裂症 社会疏离感 影响因素 

分 类 号：R749.3[医药卫生—神经病学与精神病学]