精神分裂症患者亲属心理健康状态分析

Analysis of mental state of relatives of schizophrenia patients

目的分析精神分裂症患者亲属心理状态。方法随机选取2016年10月~2019年10月我院精神分裂症患者的亲属100例,采用症状自评量表(SCL-90)对患者亲属的心理健康状况进行评定,统计分析患者亲属和全国常模、男性和女性、完成和未完成九年义务教育、一级和二级亲属的SCL-90评分比较。结果患者亲属的焦虑、抑郁、偏执、躯体化评分及SCL-90总分均显著高于全国常模(P<0.05)。男性亲属的敌对评分及SCL-90总分均显著高于女性亲属(P<0.05)。完成九年义务教育的亲属的焦虑、抑郁、躯体化评分及SCL-90总分均显著高于未完成九年义务教育的亲属(P<0.05),恐怖评分显著低于未完成九年义务教育的亲属(P<0.05)。一级亲属的焦虑、抑郁、恐怖、强迫症状、精神病性症状评分及SCL-90总分均显著高于二级亲属(P<0.05)。结论精神分裂症患者亲属一般心理健康状况较差,性别、文化程度、与患者关系可能是其影响因素,临床应该据此积极采取有针对性的健康教育策略改善患者亲属的心理健康状况。

Objective To analyze the mental state of relatives of schizophrenia patients.Methods A total of 100 cases of relatives of schizophrenia from October 2016 to October 2019 were randomly selected.The symptom selfrating scale(scl-90)was used to assess the mental health status of relatives of schizophrenia.The SCL-90 scores of relatives of schizophrenia and national norm,male and female,completed and incomplete nine-year compulsory education,primary and secondary relatives were statistically analyzed.Results The scores of anxiety,depression,paranoia,somatization and total score of relatives were significantly higher than the national norm(P<0.05).The hostility score and total score of male relatives were significantly higher than female relatives(P<0.05).The scores of anxiety,depression,somatization and total score of relatives who completed the nine-year compulsory education were significantly higher than those who did not complete the nine-year compulsory education(P<0.05),the score of terror was significantly lower than those who did not complete the nine-year compulsory education(P<0.05).The scores of anxiety,depression,phobia,obsessive-compulsive symptoms,psychosis and total score of the first-degree relatives were significantly higher than the second-degree relatives(P<0.05).Conclusion The mental health status of relatives of schizophrenia is poor,and gender,education level and relationship with patients may be the influencing factors.Therefore,targeted health education strategies should be adopted to improve the mental health status of relatives of patients.