摘要
目的 探讨首发与复发精神分裂症患者家庭功能对其生活质量影响的差异.方法 2018年7—12月采用便利抽样的方法于四川大学华西医院心理卫生中心住院部对符合纳入排除标准的46例首发及88例复发精神分裂症患者进行调查,采用一般资料、家庭功能评定(FAD)量表(包括沟通、角色、问题解决、情感反应、情感介入、行为控制和总功能)、家庭亲密度及适应性量表(FACESⅡ-CV,包括亲密度和适应性)以及精神分裂症患者生活质量量表(SQLS,包括心理社会、动机和精力、症状和不良反应)进行调查并进行组间比较,采用相关分析及多元逐步回归法分析两组家庭功能对其生活质量的影响并探讨其差异.结果 首发与复发精神分裂症患者在家庭沟通和亲密度方面差异均有统计学意义(t值分别为2.45、-2.14,均P<0.05).复发患者的SQLS总分与FAD和FACES各维度之间均存在相关关系(均P<0.05),而在首发患者中,只有沟通(r=0.32,P<0.05)和一般功能(r=0.32,P<0.05)与动机和精力相关.对于首发精神分裂症患者,家庭沟通(β=0.32,P=0.03)是其生活质量的影响因素,而一般功能(β=0.29,P=0.02)和家庭角色(β=0.24,P=0.04)是复发患者生活质量的影响因素.结论 家庭沟通不良的首发精神分裂症患者生活质量较低,而对于复发精神分裂症患者,家庭角色和家庭一般功能较差者其生活质量较低.
Objective To explore the difference of the influence of family function on quality of life between first-episode and relapsing schizophrenia.Methods A total of 46 first-episode and 88 relapsing schizophrenias which met the inclusion and exclusion criteria were recruited by convenience sampling method in the inpatient department of mental health center,West China Hospital,Sichuan University from July 2018 to December 2018.General information,Family Assessment Device(FAD,including communication,role,problem solving,emotional response,emotional intervention,behavior control and total function),Family Adaptability and Cohesion Evaluation ScaleⅡChina Version(FACESⅡ-CV,including intimacy and adaptability)and Schizophrenia Quality of Life Scale(SQLS,including psychosocial,motivation and energy,symptoms and side effects)were applied to compare between groups.Correlation analysis and multiple stepwise regression analysis were used to analyze the influence of family function on the quality of life of the two groups and to explore the differences.Results There were statistically significant differences in family communication and cohesion between first-episode and relapsing schizophrenia(t=2.45,-2.14;P<0.05).SQLS total scores was correlated with all dimensions of FAD and FACES in relapsing schizophrenia(P<0.05),while in first-episode patients,only communication(r=0.32,P<0.05)and general function(r=0.32,P<0.05)were related to motivation and energy.For first-episode schizophrenias,family communication(β=0.32,P=0.03)was influencing factor of quality of life,while in relapsing schizophrenias,general functions(β=0.29,P=0.02)and roles(β=0.24,P=0.04)affected their quality of life.Conclusions The quality of life of first-episode schizophrenias with poor family communication is lower,while in relapsing schizophrenias,poor family roles and general family function is correlated with lower quality of life.
作者
陈娟
孟娜
曹秉蓉
谢星
代胜盈
文守琴
Chen Juan;Meng Na;Cao Bingrong;Xie Xing;Dai Shengying;Wen Shouqin(Mental Health Center,West China Hospital,Sichuan University,West China School of Nursing,Sichuan University,Chengdu 610041,China)
出处
《神经疾病与精神卫生》
2020年第9期624-629,共6页
Journal of Neuroscience and Mental Health
基金
四川省科技厅重点研发项目(2018SZ0256)
四川大学华西护理学科发展专项基金项目(HXHL19065)。
