住院次数对精神分裂症一级亲属心理状况的影响

Influence on Number of Hospitalization on Psychological Status of First-degree Relatives of Schizophrenia

目的:探讨住院次数对精神分裂症一级亲属心理状况的影响。方法:将2017年4-12月湛江市第三人民医院收治的90例精神分裂症患者的100名一级亲属按照发作次数分为初次发作一级亲属组(n=50)和反复发作一级亲属组(n=50),比较两组症状自评量表(SCL-90)评分和疾病家庭负担量表(FBS)评分。结果:反复发作一级亲属组焦虑、抑郁、强迫症状、躯体化、人际关系敏感、偏执、恐怖、敌对及精神病性评分及SCL-90总分、均分及阳性项目数均显著高于初次发作一级亲属组,差异均有统计学意义(P<0.05);反复发作一级亲属组家庭关系、家庭日常生活、家庭经济负担、家庭成员心理健康、家庭成员躯体健康、家庭休闲娱乐活动评分均显著高于初次发作一级亲属组,差异均有统计学意义(P<0.05)。结论:精神分裂症患者住院次数的增多会使一级亲属家庭负担加重,心理健康水平降低。

Objective：To investigate the influence on the number of hospitalization on the psychological status of first-degree relatives of schizophrenia.Method：From April to December 2017,100 first-degree relatives of 90 schizophrenic patients in the Third People＇s Hospital of Zhanjiang were divided into first-degree relatives of the first attack（n=50） and repeated first-degree relatives（n=50） according to the number of attacks.The score of symptom checklist（SCL-90） and family burden of disease（FBS） of two groups were compared.Result：The scores of anxiety,depression,obsessive-compulsive symptoms,somatization,interpersonal sensitivity,paranoia,terror,hostility and psychosis,total score of SCL-90,average score and number of positive items in repeated first-degree relatives were significantly higher than those in first-degree relatives of the first attack,the differences were statistically significant（P〈0.05）.Family relationships,family daily life,family financial burden,family members＇ mental health,family members＇ physical health and family recreational activities scores in repeated firstdegree relatives were significantly higher than those in first-degree relatives of the first attack,the differences were statistically significant（P〈0.05）.Conclusion：The increase of the number of hospitalization with schizophrenia aggravates the family burden of first-degree relatives and reduces the level of mental health.