复发精神分裂症患者家庭照顾者生活质量水平及其影响因素研究  

Study on the Quality of Life and Influencing Factors of Family Caregivers of Patients with Recurrent Schizophrenia

作　　者：李川 刘志英[1] 蒋小剑[2] 戴进军 杨红秀[1] 范芳秀[1] LI Chuan;LIU Zhiying;JIANG Xiaojian;DAI Jinjun;YANG Hongxiu;FAN Fangxiu(Brain Hospital of Hunan Province/The Second People's Hospital of Hunan Province,Changsha 410007,China;Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南省脑科医院/湖南省第二人民医院,长沙410007 [2]湖南中医药大学,长沙410208

出　　处：《湖南师范大学学报（医学版）》2024年第4期187-192,共6页Journal of Hunan Normal University(Medical Sciences)

基　　金：湖南省教育科学“十四五”规划2023年度课题终结性研究成果“基于学习共同体的中医护理人才队伍创新能力提升研究”(XJK23BGD014)。

摘　　要：目的:探讨复发精神分裂症患者家庭照顾者的生活质量水平及其相关影响因素,为精神分裂症患者的康复策略提供新的参考依据。方法:通过整群抽样法,采用一般资料问卷、家庭照顾负担访谈量表(FBIS)和生活质量测定量表简表(WHOQOL-BREF)于2023年7月―2024年1月期间,对湖南省300名精神分裂症复发患者的家庭主要照顾者进行问卷调查,并对性别、年龄等18个因素进行深入研究,分析这些因素对复发精神分裂症患者的家庭照顾者生活质量的影响。结果:复发精神分裂症患者家庭照顾者的生活质量得分为(59.60±9.20)分,其中心理领域得分最低(49.32±10.73分),社会关系领域得分最高(56.49±9.17分)。Logistics回归分析结果显示,居住地(OR=1.868,95%CI:1.098~3.177)、与患者的家属关系(OR=12.697,95%CI:1.582~101.885)和照顾负担(OR=0.205,95%CI:0.122~ 0.342)是其生活质量的独立影响因素。结论:复发精神分裂症患者的家庭照顾者的生活质量水平较差,居住地、与患者的家属关系和照顾负担对复发精神分裂症患者的家庭照顾者生活质量产生显著影响,应重视对精神分裂症患者的家庭照顾者的心理支持和情绪疏导,减轻家庭照顾者的照顾负担,从而提高其生活质量。Objective To explore the quality of life of family caregivers of patients with recurrent schizophrenia and its related influencing factors,so as to providing new reference for rehabilitation strategies for schizophrenia patients.Method A cluster sampling method was used to conduct a questionnaire survey on the primary caregivers of 300 patients with recurrent schizophrenia in Hunan Province from July 2023 to January 2024,using general information questionnaire,Family Care Burden Interview Scale (FBIS),and World Health Organization Quality of Life-BREF (WHOQOL-BREF),in depth research was conducted on 18 factors including gender and age to analyze the impact of these factors on the quality of life of family of their quality of life.Conclusion:The quality of life of family caregivers of patients with caregivers of recurrent schizophrenia patients.Results The WHOQOL-BREF score of family caregivers of patients with recurrent schizophrenia was (59.60±9.20),with the lowest score in psychological field (49.32±10.73) and the highest score in social relationship field (56.49±9.17).The logistics regression analysis results showed that,the place of residence (OR=1.868,95%CI 1.098-3.177),family relationship with patients (OR=12.697,95%CI 1.582-101.885) and care burden (OR=0.205,95%CI 0.122-0.342) were the influencing factors recurrent schizophrenia is poor,with the lowest score in the psychological field.Residential area,family relationship with patients,and caregiving burden are factors that affect the quality of life of family caregivers of patients with recurrent schizophrenia.

关 键 词：精神分裂症 复发 家庭照顾者 生活质量 

分 类 号：R473.74[医药卫生—护理学]