精神分裂症稳定期患者孤独感现状调查及其影响因素分析  

Investigation of loneliness in stable schizophrenic patients and analysis of its influencing factors

作　　者：李秀辉 尹周敏 王绪波 LI Xiuhui;YIN Zhoumin;WANG Xubo(Ward Six of Three Departments of Psychiatry,Daizhuang Hospital,ShandongProvince,Jining 272075,China;Ward Seven ofThree Departments of Psychiatry,Daizhuang Hospital,ShandongProvince,Jining 272075,China)

机构地区：[1]山东省戴庄医院精神三科六病区,山东济宁272075 [2]山东省戴庄医院精神三科七病区,山东济宁272075

出　　处：《心理月刊》2025年第5期199-201,共3页

摘　　要：目的 探讨精神分裂症(SCH)稳定期患者孤独感现状调查及其影响因素。方法 选取2021年7月~2024年6月山东省戴庄医院收治的120例sch稳定期患者,使用UCLA孤独量表(UCLA)评价孤独感,有20个条目,11个正向计分、9个反向计分,每个计1~4分,计算总分时进行转换,得分越高,孤独感越强。收集患者一般资料,性别、年龄、教育程度、婚姻情况、病程、家族史、发病情况、医疗付费方式、住院次数、职业情况、焦虑情绪、抑郁情绪、社会支持(高、低)等。对一般资料进行单因素分析,再对有统计学差异因素的进行多元线性回归分析。结果 120例SCH稳定期患者UCLA的评分为47.63±8.08分;单因素分析显示,年龄、教育程度、家族史、医疗付费方式、职业情况与SCH稳定期患者孤独感无关,差异无统计学意义(P>0.05);两组性别、婚姻情况、病程、发病情况、住院次数、焦虑情绪、抑郁情绪、社会支持与SCH稳定期患者孤独感有关,差异有统计学意义(P<0.05);多元线性回归分析显示,性别为女、婚姻情况为离异/丧偶/未婚、病程≥5年、发病情况为复发、住院次数≥3次、有焦虑、抑郁情绪、社会支持低是影响SCH稳定期患者孤独感的独立危险因素(P<0.05)。结论 性别为女、婚姻情况为离异/丧偶/未婚、病程≥5年、发病情况为复发、住院次数≥3次、有焦虑、抑郁情绪、社会支持低多种因素综合作用导致SCH稳定期患者产生强烈的孤独感,临床需高度重视。Objective To investigate the status quo and influencing factors of loneliness in patients with stable schizophrenia(SCH).Methods A total of 120 sch patients admitted to Daizhuang Hospital in Shandong Province from July 2021 to June 2024 were selected to evaluate loneliness using UCLA loneliness scale(UCLA).There were 20 items,including 11 forward scores and 9 reverse scores,each with 14 scores.The total score was converted when calculating.Collect general patient data,Gender,age,education level,marital status,course of disease,family history,incidence,medical payment method,number of hospitalizations,occupation employment status,anxiety,depression,social support,etc.The general data were analyzed by single factor,and the factors with statistical difference were analyzed by multiple linear regression.Results The UCLA score of 120 SCH patients was 47.63±8.08.Univariate analysis showed that age,education level,family history,medical payment method and occupation had no statistical significance in loneliness of SCH stable patients(P>0.05).Gender,marital status,course of disease,incidence,number of hospitalization,anxiety,depression and social support were related to loneliness of sCH stable patients,and the differences were statistically significant(P<0.05).Multiple linear regression analysis showed that gender being female,marital status being divorced/widowed/unmarried,duration of disease≥5 years,occurrence of relapse,hospitalization times≥3 times,anxiety,depression and low social support were independent risk factors for loneliness in SCH stable patients(P<0.05).Conclusion The combination of factors such as female gender,divorced/widowed/unmarried marriage,duration of disease≥5 years,recurrence,hospitalization≥3 times,anxiety,depression and low social support lead to strong loneliness in patients with stable SCH,which should be paid close attentiontoclinically.

关 键 词：精神分裂症 稳定期 孤独感 影响因素 

分 类 号：R74[医药卫生—神经病学与精神病学]