家庭访视对精神分裂症患者家属负性情绪及生活质量的影响

The Influence of Home Visits on Schizophrenic Patients’Family Members’Negative Attitudes and Lliving Quality

目的:探讨家庭访视对精神分裂症患者家属负性情绪及生活质量的影响。方法:将100例临床痊愈精神分裂症患者的家属按患者出院的先后顺序分为访视组和对照组,每组50例;两组家属均给予常规针对性出院指导和一般健康教育。访视组家属在此基础上施以健康教育为主的家庭访视,观察8个月。于出院时、出院后8个月时分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量综合评定问卷(GQOLI)评定患者家属负性情绪和生活质量。结果:访视前两组间SAS、SDS、GQOLI评分比较,差异无统计学意义(P>0.05);访视8个月时访视组的SAS、SDS评分、GQOLI评分优于对照组,差异有统计学意义(P<0.01)。结论:家庭访视可对精神分裂症患者家属提供社会心理支持,改善其负性情绪,提高生活质量。

Objective： To investigate the influence of home visits on patients＇ family members＇ negative attitudes and living quality. Method： 100 family members of cured schizophrenic patients were equally divided into visiting group and control group based on the sequence of when the patient leaves the hospital.Discharge guidance and health education were given to both groups, while visiting group receives extra home visits mainly on health education for eight months. Self-Rating Anxiety Scale （ SAS ）, Self-rating Depression Scale （ SDS ） and Generic Quality of Life Inventory （ GQOLI ） were used to evaluate the family members＇ negative attitudes and living quality at the time when patients leave hospital and after eight months.Result： No statistical significance （ P〉0.05 ） in SAS, SDS and GQOLI was discovered between the two groups before home visiting.After continuing home visiting for eight months, the SAS, SDS and GQOLI scores of the visiting group were better than those of the control group with statistical significance （ P〈0.01 ） . Conclusion： Home visits can provide social psychological supports to the schizophrenic patients＇ family members and improve their negative attitudes, as well as their living quality