Journal of International Psychiatry

【Abstract】Objective:To explore the status and influence factors about self-management on schizophrenia in double severe mental disorder patient family. Methods:selected at least had 1 schizophrenia family from 106 severe mental disorder families in Chongqing from November 2017 to May 2018, general social demographic and clinical data were collected, self-management scale was used.Results:①The correlation coefficient of self management in six dimensions compliance (r=0.570), drug self management (r=0.584), mental symptom self-management (r=0.688), maintenance of daily life and social function (r=0.631), utilization of resources and support (r=0.709), and self-efficacy (r=0.733) were statistically significant in two schizophrenia patients. ②The patients’ self-management ability was related to the patients own educational level, age and duration. ③Covariance analysis showed that there were significant differences in the scores of drug self management (F=6.861)and maintenance of daily life and social function(F=4.741)dimensions in familial and sporadic schizophrenia, and there was no significant difference in the scores of each dimension between the different numbers of guardians. ④Multiple linear regression equations showed place of residence, patients education, patients and guardians live together, familial psychosis had an impact on self-management. Conclusion: There is correlation in self-management ability between two schizophrenia patients. The self-managementability was related topatients own education, age and duration. The family and sporadic schizophrenia were different in drug management and maintenance function, and the self-management was affected by many factors.

Schizophrenia; Self-management