社区精神分裂症患者康复期需求与患者家庭负担的关系

The Needs of Schizophrenia Patients and Family Burdens in Community:The Relationship between Needs and Family Burdens

目的:调查社区精神分裂症患者康复期需求、家庭负担及二者关系。方法:采用瑞士版Camberwell需求量表(CAN)和家庭负担量表(FBS)对278例患者需求及家庭负担进行调查。结果:CAN需求最多的5个条目分别为精神症状266例,社会生活200例,获得疾病及治疗信息187例,日常活动181例,心理问题174例。FBS平均负担分最多的3个因子分别为家庭关系(1.5±0.3),家庭日常活动(1.3±0.2)和经济负担(1.1±0.4)。CAN需求总分与FBS总分、家庭关系、家庭日常活动、经济负担和家庭成员心理健康呈显著相关(r=0.5246,0.6252,0.5135,0.4723,0.4412;P<0.05)。结论:社区精神分裂症患者在康复期对临床和社会的需求仍然较多,这与患者家庭负担存在着密切的关系。

Objective ：To explore the needs of schizophrenia patients and their family burdens in community and the relationship between them .Methods ：The Camberwell Assessment of Need （CAN ）and Family Burden of Diseases （FBD）were used to investigate 278 schizophrenia patients＆#39;s needs and their family burdens .Results ：The top five needs in area of CAN were psychotic symptoms （266） ,company（200） ,information about their condition or treatment （187） ,daytime activity （181）and psychological distress （174） .Three factors in FBD got most mean scores ,including family relationships（1 .5 ± 0 .3） ,daytime actives（1 .3 ± 0 .2） ,financial burdens（1 .1 ± 0 .4） .CAN total scores were asso‐ciated with FBS total ,family relationship ,day activity ,financial burden and psychological distress scores （r = 0 .5246 , 0 .6252 ,0 .5135 ,0 .4723 ,0 .4412 ;P 〈 0 .05） .Conclusion ：There are more clinical and social needs of schizophrenia pa‐tients in community ,and they are associated with family burdens .