被关锁农村精神分裂症患者家属病耻感现况调查及相关因素研究

The Stigma Situation of the Shut Rural Schizophrenic Patients′ Family Members,and Its Related Factors

目的探讨被关锁农村精神分裂症患者家属病耻感状况及相关因素。方法以2006年11月—2012年3月全省解锁救治出院的84例患者家属为调查对象,以国际疾病和相关健康问题统计分类第10版(ICD-10)标准对患者进行诊断,采用精神疾病内在病耻感调查表对家属进行调查。结果实际调查82例,被关锁农村精神分裂症患者家属有病耻感者72例(占87.8%)。以患者目前是否关锁分为2组,再次关锁组家属病耻感高于未关锁组,差异有统计学意义(P<0.05)。病耻感感知水平与家属与患者的关系及患者目前是否关锁等因素相关。结论解锁救治出院的农村精神分裂症患者家属普遍存在病耻感,且再次关锁者家属为甚,患者再次关锁及患者父母增加了家属病耻感水平。

Objective To investigate the stigma situation among the family members of the shut rural patients with schizophrenia, and to explore the related factors of their stigma. Methods The family members of 84 schizophrenic patients, whose condition met the diagnosis criteria of ICD - 10 and who were unlocked, treated and discharged from hospitals from Novem- ber 2006 to March 2012 in the whole province, were recruited as the subjects. They were investigated assessed by using internal- ized Stigma Scale for Mental Illness （SSMI） . Results Totally the family members of 82 schizophrenic patients were investiga- ted. The investigation showed that 87. 8% of the family members had stigma. The patients were classified into two groups accord- ing to weather they were shut or not at the present. The family members of patients who were shut again had significantly higher stigma than those family members of patients who were not shut （ P 〈 0. 05 ）. The stigma perception level was related to factors such as the relationship of family members with patients and weather the patient was at present shut or not. Conclusion The fami- ly members of rural schizophrenic patients unlocked, treated and discharged from hospitals after unlocked and had a remedy had stigma universally, especially those family members of patients who were shut again. Patients that shut again and their parents in- creased the stigma level of the family members.