康复期精神病患者自我感受负担及其影响因素分析

The research of self-perceived burden and its influencing factors in patients with psychopath in rehabilitative period

目的探讨康复期精神病患者的自我感受负担(self-perceived burden,SPB)现状及其影响因素。方法选取2013年7月—2014年5月泰安市某精神病医院的76名康复期的精神病患者,运用一般资料调查问卷,自我感受负担量表(self-perceived burden scale,SPBS)进行测定。计量资料比较采用方差分析,采用多元线性逐步回归分析对患者SPB的影响因素进行分析,P<0.05为差异有统计学意义。结果参与调查的76例患者中有2例(2.63%)患者无明显的负担,得分为(15.34±4.46)分;8例(10.53%)的患者有轻度SPB,得分为(23.26±6.21)分;47例(61.84%)的患者有中度SPB,得分为(34.02±7.06)分;19例(25.00%)患者感到重度负担,得分为(47.32±5.45)分。不同婚姻、医疗支付方式、住院次数患者的SPB得分比较,差异均有统计学意义(均P<0.05)。病程、住院次数及医疗支付费用为影响患者SPB的主要因素。结论临床工作中医务人员应更多的关注患者的心理健康,制订针对性的干预措施,减少疾病的复发,降低患者SPB水平,提高患者的生存质量。

Objective To explore the self-perceived burden（SPB） in patients with psychopath in rehabilitative period its influencing factors.Methods 76 patients were collected in hospital with the self-perceived burden scale（SPBS） from July 2013 to May 2014.Measurement data was processed by variance analysis,the influencing factors of SPB were analyzed by multiple Logistic regression analysis,P〈0.05 was considered statistically significant.Results Among the 76 patients,2 patients（2.63%） felt no burden,the score was（15.34±4.46）,8 patients（10.53%） felt mild burden,the score was（23.26±6.21）,47 patients（61.84%） felt middle burden,the score was（34.02±7.06）,19 patients（25.00%） felt severe burden and the score was（47.32±5.45）.There were significant differences in patients＇ different admission times,payment of medical cost and marital status（all P〈0.05）.Multiple Logistic regression shown that the main influencing factors of SPB were admission times,course of disease,payment of medical cost.Conclusion Clinical health care workers should put more attention to patients＇ psychological state in rehabilitative period,make individual effectively intervention to reduce the relapse and the level of self-perceived burden,which helps to improve the quality of life.