伴幻听的精神分裂症患者积极应对现状及影响因素分析  

Analysis of the proactive coping status and influencing factors of schizophrenia patients with auditory hallucinations

作　　者：李亚男 沈玮[2] 王淑娜[3] 赵雪莹 秦瑶 李静 晁晶晶 LI Yanan;SHEN Wei;WANG Shuna;ZHAO Xueying;QIN Yao;LI Jing;CHAO Jingjing(Department of Psychiatry,Shandong Mental Health Center,Jinan 250014,Shandong,China;School of Nursing,Shandong University of Traditional Chinese Medicine,Jinan 250300,Shandong,China;Department of Psychosomatic Medicine,Shandong Mental Health Center,Jinan 250014,Shandong,China)

机构地区：[1]山东省精神卫生中心精神科,山东济南250014 [2]山东中医药大学护理学院,山东济南250300 [3]山东省精神卫生中心心身医学科,山东济南250014

出　　处：《中国现代医生》2025年第8期14-17,共4页China Modern Doctor

基　　金：山东省医药卫生科技发展计划项目(202014051018)。

摘　　要：目的了解伴幻听的精神分裂症患者积极应对现状并分析影响因素。方法选取2023年2月至10月在山东省精神卫生中心住院的240例精神分裂症伴幻听患者作为研究对象,采用一般资料调查表、简易应对方式问卷、领悟社会支持量表、自知力与治疗态度问卷进行调查。结果回收有效问卷236份,有效问卷回收率98.33%。伴幻听的精神分裂症患者积极应对得分(18.55±7.74)分,处于中等水平。多元线性回归分析显示,文化程度、领悟社会支持、自知力是患者积极应对得分的影响因素(P<0.05)。结论伴幻听的精神分裂症患者积极应对有待进一步提高,护理人员可重点关注文化程度低、领悟社会支持能力低、自知力差的患者,制定针对性的干预措施,提升其积极应对水平。Objective To investigate the proactive coping of schizophrenia patients with auditory hallucinations and to analyze its influencing factors.Methods A total of 240 schizophrenia patients with auditory hallucinations hospitalized in Shandong Mental Health Center from February to October 2023 were selected as subjects.General information questionnaire,simplified coping style questionnaire,perceived social support scale,insight and treatment attitude questionnaire were used to conduct the survey.Results A total of 236 valid questionnaires were collected,and effective questionnaire response rate was 98.33%.The proactive coping score of schizophrenia patients with auditory hallucinations was(18.55±7.74)points,which was at a moderate level.The results of multiple linear regression analysis showed that education level,perceived of social support,and self-awareness were the influencing factors of proactive coping to schizophrenia patients with auditory hallucinations(P<0.05).Conclusion The proactive coping of schizophrenia patients with auditory hallucinations needs to be further improved,and nursing staff can focus on patients with low education level,low ability to perceive social support and poor self-awareness,and formulate targeted interventions to improve their proactive coping to auditory hallucinations.

关 键 词：精神分裂症 幻听 积极应对 影响因素 

分 类 号：R473.74[医药卫生—护理学]