偏执型精神分裂症患者自我效能感水平及其影响因素分析

Analysis of the level of self-efficacy and its influencing factors in patients with paranoid schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(3)
作者
作者单位

河南省驻马店市第二人民医院 ;

摘要
[摘要] 观察偏执型精神分裂症(SCH)患者自我效能感水平,分析患者自我效能感水平的影响因素。方法 选取本院2019年1月-2020年5月收治75例偏执型SCH患者,采用一般自我效能感量表(GSES)评估患者自我效能感水平;设计基线资料调查问卷,收集患者基线资料并记录,将可能的影响因素纳入,经单因素、多因素分析找出偏执型SCH患者自我效能感水平低下的影响因素。结果 75例偏执型SCH患者,27例自我效能感较低,占36.00%;经单因素分析后建立多元回归模型行多因素分析结果显示,生活不能自理、病耻感较强、负性情绪均是偏执型SCH患者自我效能感较差的影响因素(OR>1,P<0.05)。结论 偏执型SCH患者自我效能感水平不容乐观,可能因受生活自理能力、病耻感、负性情绪等影响,部分患者的自我效能感为低水平,临床应重视早期评估偏执型SCH患者的自我效能感水平现况,并针对生活自理能力差、病耻感严重、负性情绪严重的患者实施合理且具有针对性的干预,旨在提高患者自我效能感水平,可能对促进治疗顺利进行有积极意义。
Abstract
[Abstract] Objective To observe the self-efficacy level of patients with paranoid schizophrenia and to analyze the influencing factors of the self-efficacy level of patients. Methods A total of 75 patients with paranoid schizophrenia treated in our hospital from January 2019 to May 2020 were selected. The general self-efficacy scale (GSES) was used to assess the level of self-efficacy of the patients; a baseline survey questionnaire was designed to collect baseline data of patients and recorded, included possible influencing factors, and found out the influencing factors of low self-efficacy in patients with paranoid schizophrenia through single-factor and multi-factor analysis. Results Among 75 patients with paranoid schizophrenia, 27 had a low sense of self-efficacy, accounting for 36.00%; after single factor analysis, a multiple regression model was established and the results of multiple factor analysis showed that unable to take care of themselves, strong stigma, and negative emotions were all influencing factors for poor self-efficacy in patients with paranoid schizophrenia (OR>1, P<0.05). Conclusion The level of self-efficacy of patients with paranoid schizophrenia is not optimistic. It may be affected by self-care ability, stigma, negative emotions, etc, some patients’ have low level of self-efficacy, the clinic should pay attention to early assessment of the self-efficacy level of patients with paranoid schizophrenia, and implement reasonable and targeted interventions for patients with poor self-care ability, severe stigma, and severe negative emotions, aiming to improve the level of self-efficacy of patients, which may have a positive significance in promoting the treatment smoothly.
关键词
[关键词] 偏执型精神分裂症;自我效能感水平;病耻感;生活自理能力;负性情绪
KeyWord
[Keywords] paranoid schizophrenia; self-efficacy level; stigma; self-care ability; negative emotion
基金项目
页码 413-415
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罗红霞*. 偏执型精神分裂症患者自我效能感水平及其影响因素分析 [J]. 国际精神病学杂志. 2021; 48; (3). 413 - 415.

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