精神病患者病耻感对其生存质量的影响

Influence of stigma on QOL of patients with mental disorders

目的探讨精神病患者的病耻感对其生存质量的影响。方法采用Link病耻感系列量表及精神分裂症患者生活质量量表,对406例住院康复期精神病患者进行问卷调查及分析。结果病耻感量表贬低-歧视感知维度评分与生存质量总分、心理社会维度、动力和精力维度呈正相关(P<0.05);挑战维度及分离维度与生存质量动力和精力维度呈正相关(P<0.05)。回归分析显示,病耻感对患者生存质量无影响。结论精神病患者的病耻感对其生存质量无直接影响,但与生存质量存在相关关系,病耻感量表贬低-歧视感知、挑战维度及分离维度得分越高,其生存质量越低。

Objective To investigate the influence of stigma on QOL of patients with mental disorders.Methods By using Link stigma series scale and schizophrenic quality of life scale,we assessed and analyzed 406 psychiatric patients′stigma and QOL,as well as the correlation and influence between them.Results The score of perceived devaluation-discrimination dimension of the stigma scale had positive correlation with total score of QOL,score of psycho-social dimension and score of motivation and energy dimension（P〈0.05）.The scores of challenge dimension and separation dimension in the stigma scale had positive correlation with motivation and energy dimension of the QOL scale（P〈0.05）.Regression analysis showed that stigma did not have influence on QOL of patients with mental disorders.Conclusion Stigma in psychiatric patients has no significant influence on QOL,but correlation relationship exists between them.The higher score of perceived devaluation-discrimination dimension,challenge dimension and separation dimension of stigma scale,the poor QOL the patient would have.