心境障碍患者家属的疾病知识掌握情况的调查分析

Investigation of Mastery Degree of Disease Knowledge of Family of Patients with Mood Disorder

目的探讨心境障碍患者家属对疾病知识的掌握程度,为有针对性地开展健康教育提供理论依据。方法方便选择150名于2015年1月—2016年6月于上海市精神卫生中心门诊就诊的患者家属,采用自制问卷调查对患者家属的心境障碍疾病知识的进行调查,分析其相关影响因素。结果非急性期(87名)患者家属对治疗方案以及药物的疗效与不良反应等方面的平均得分[分别为(3.18±1.08)分、(2.66±1.11)分]明显高于急性期(53名)患者家属[(2.58±1.38)分、(2.47±1.48)分,P=0.001、0.007],其对疾病治疗方案、预后及家庭护理方面知识的掌握程度与病程正相关(r=0.200,0.166,0.221,P=0.018,0.050,0.009)。结论家属的疾病知识水平有待提高,针对不同疾病状态患者家属开展有针对性的健康教育,有助于患者与家属更好地应对疾病,达到改善预后的目的。

Objective To study the mastery degree of disease knowledge of family of patients with mood disorder and provide theoretical basis for the targeted development of health education.Methods The mood disorder knowledge of 150 family members in Shanghai mental health center of outpatient service from January 2015 to June 2016 were surveyed by the self-made questionnaires,and the related influence factors were analyzed.Results The average score of treatment plan,curative effect and side effect of family members of patients during the non-acute phase（87 cases） was obviously higher than that of family members of patients during the non-acute phase（53 cases） [（3.18±1.08）points,（2.66±1.11）points vs（2.58±1.38）points,（2.47±1.48）points],P= 0.001 and 0.007）,and the mastery degree of disease treatment plan,prognosis and family care knowledge were positively correlated with the disease course（r= 0.200,0.166,0.221,P= 0.018,0.050,0.009）.Conclusion The disease knowledge level of family members needs to be improved,and the targeted development of health education according to different disease states contributes to the better handling of disease of patients and their family thus reaching the goal of improving the prognosis.