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目的:探讨和研究住院精神病患者病耻感水平的影响因素与对策。方法:研究对象选取为2010年1月~2013年1月之间绍兴市第七人民医院收治的230例住院精神病患者,分别采用贬低-歧视感知量表、自知力与治疗态度量表、精神病人生存质量量表、住院精神病人社会功能评定量表对以上患者进行问卷调查,按是否具有病耻感进行分组,并对各量表统计结果进行分析。结果:本次调查问卷有效212份,有效率92.17%,调查结果显示有病耻感患者129例,无病耻感患者83例,病耻感发生率占总数的60.85%;从两组患者对比来看,病耻感组患者生活质量、社会功能以及心理评分均显著低于无病耻感组(P<0.05),而两组患者的生理及症状评分对比无显著差异(P>0.05)。结论:住院精神病患者的病耻感水平较高,而病耻感的出现会严重影响患者的心理状况及生活质量,应当加强此类患者的心理护理,帮助患者树立治疗和生活信心。
Objective: To investigate and study the influencing factors and countermeasures of the stigma of inpatients with psychosis. Methods: The subjects were selected from 230 inpatients with psychosis who were admitted to the Seventh People’s Hospital of Shaoxing from January 2010 to January 2013, using the demeaning-discrimination perception scale, self-knowledge and treatment attitude scale Patient quality of life scale, social function evaluation scale of inpatient mental patients on the above patients were surveyed, according to whether there is a sense of shame to group, and the statistical results of the scales were analyzed. Results: The questionnaire was effective in 212 cases, with an effective rate of 92.17%. The survey showed 129 cases of asymptomatic patients, 83 cases of non-asymptomatic patients and 60.85% of the total. From the point of view, quality of life, social function and psychology scores of patients with shame were significantly lower than those without sense of shame (P <0.05). There was no significant difference between the two groups in physical and symptom scores (P> 0.05). Conclusion: Inpatient psychiatric patients have a higher level of stigma, and the appearance of stigma can seriously affect their psychological status and quality of life. Psychological nursing should be strengthened to help patients establish confidence in treatment and life.