作　　者： (田良辉）; (孔卉玲）; (毛云峰）; (马斋文）; (周颖）; (吴彦）;

机构地区： 上海市黄浦区精神卫生中心精神科,上海200030

出　　处： 《中国医药导刊》 2017年第7期653-654,共2页

摘　　要： 目的:探讨精神分裂症患者自我病耻感与病耻抵抗影响因素,为改善患者心理健康提供参考。方法:选取2015年2月~2016年9月我院门诊或住院部的精神分裂症患者,采取连续入组的方法,计划入组200例。并评估患者自我病耻感和病耻抵抗。结果:多因素:抑郁(OR=2.031)、生存质量(OR=2.825)、PANSS评分(OR=2.997)、病程(OR=2.749)、住院次数(OR=3.748)及无家属照顾(OR=2.682)为精神分裂症患者自我病耻感和病耻抵抗影响独立危险因素。结论:精神分裂症患者自我病耻感和病耻抵抗状况不乐观,且影响因素较多,因此社会和家庭应多给予精神分裂症患者关心和支持,更好的改善其心理状况和生存质量,积极给予治疗,缩短病程,减少住院次数,从而有助于降低精神分裂症患者自我病耻感和病耻抵。 Objective： To explore the factors of schizophrenic patients＇ self-shame and shame resistance,and to provide reference for improving the mental health of patients. Methods： From Feb 2015 to Sept 2016,200 patients in our outpatient or inpatient department were enrolled in this study. The Calgary Depression Scale（ CDSS）,and so on. And to assess patient self-shame and shame resistance. Results：Multiple factors：depression（ OR = 2. 031）,quality of life（ OR = 2. 825）,PANSS score（ OR = 2. 997）,（ OR = 2. 749）,duration of hospitalization（ OR = 3. 748） and family care（ OR = 2. 682） for patients with schizophrenia of self stigma and shame disease resistance independent risk factors. Conclusion： Schizophrenia patients with self-shame and shame resistance is not optimistic about the situation,and more factors,so the community and the family should give more care and support of schizophrenic patients,better improve their psychological status and quality of life,and actively give Treatment,shorten the course of the disease,reduce the number of hospitalization,which helps to reduce schizophrenia patients with self-shame and shame arrived.

关 键 词： 自我病耻感 病耻抵抗 精神分裂症 因素 生存质量