复员退伍精神分裂症患者自尊感的相关因素分析

Analysis of factors affecting self--esteem of veterans with schizophrenia

目的 探讨分析复员退伍精神分裂症患者自尊感的相关因素。方法 选取河北省荣军医院180例复员退伍精神分裂症患者采用自编一般情况调查表、自尊感量表（SES）、总体幸福感量表（GWB）、社会支持量表（SSES）、艾森克人格问卷（EPQ）、阳性与阴性症状量表（PANSS）、自知力与治疗态度问卷（ITAQ）评定并进行相关性分析。结果 患者自尊水平低于正常人群（u=-21．383，P〈0．01）；不同一般资料情况（年龄、婚姻状况、受教育程度、病程、家族史、住院时间及是否合并躯体疾病）的患者SES评分差异均无统计学意义（P〉0．05）；自尊与精神症状、自知力和不良反应无相关性（P〉0．05）；与SSRS的对支持的利用度维度、EPQ的内外向E维度及GWB评分呈正相关（r分别为0．196，0．159，0．154，P〈0．05）；多元回归分析显示对支持的利用度是影响自尊的突出因素。结论 丰富患者娱乐生活、给予更多的社会支持、增强幸福感，有助于提高复员退伍精神分裂症患者的自尊。

Objective To explore the factors affecting self-esteem of the veterans with sehizo phrenia. Methods Totals of 180 veterans with schizophrenia in Hebei Rongjun hospital were selected and assessed with the general situation questionnaire, General Well being Scale（GWB）, Social Support Revalued Scale （SSRS）, Eysenck Personality Questionnaire （EPQ）, Positive and Negative Symptoms Scale （PANSS）, Insight and Treatment Attitude Questionnaire（ITAQ）, Treatment Emergent Symptom Scale （TESS）. Results The score of SES of patients was lower than that of normal group （u =-21. 383 ,P 0.01） ; the scores of SES were no significant in age, marital status, education level, course of disease, family history group, time of hospitalization and physical diseases （P〈 0.05）. There was no significant correlation between SES and PANSS, ITAQ and TESS （P〉 0.05）. Positive correlation between SES and social support utilization factor of SSRS, E latitude of EPQ and GWB was observed （r = 0. 196, 0. 159,0.154, respectively; P 〈 0.05）. Multivariate regression analysis showed that social support utili- zation was the prominent factor influencing self-esteem. Conclusions Rich in entertainment life, giving more social support, enhancing well-being should help the veterans with schizophrenia improving to enhance self esteem.