| 摘要 |
摘要：探讨精神分裂症患者自我病耻感与病耻抵抗影响因素，为改善患者心理健康提供参考。方法 选取2015年2月~2016年9月我院门诊或住院部的精神分裂症患者，采取连续入组的方法，计划入组200例。采用自制一般人口学和临床特征调查表、阳性和阴性症状评定量表(Positive and Negative Syndrome Scale, PANSS)、世界卫生组织生存质量测定简表(the World Health Organization of Quality Of Life (WHOQOL) –BREF)、卡尔加里精神分裂症抑郁量表(Calgary Depression Scale for Schizophrenia, CDSS)等收集相关信息。并评估患者自我病耻感和病耻抵抗。结果 (1)自我病耻感和病耻抵抗评分：自我病耻感和病耻抵抗评分：价值否定(2.21±0.39)分、刻板印象认同(2.26±0.41)分、歧视体验(2.59±0.53)分、社交退缩(2.18±0.41)分和病耻抵抗(2.17±0.52)分；ISMI总分平均为(2.53±0.51)分，处中度水平。(2)精神分裂症患者自我病耻感与病耻抵抗影响单因素[表述不合适, 就一个” 单因素” ,不知道什么意思,”多因素” 也是一样的 .]：病程、住院次数、抑郁、生存质量、PANSS评分、慢性疾病史、有无家属照顾为精神分裂症患者自我病耻感和病耻抵抗的影响因素(P<0.05)；(3)精神分裂症患者自我病耻感与病耻抵抗影响多因素：抑郁(OR=2.031，P=0.00)、生存质量(OR=2.825，P=0.00)、PANSS评分(OR=2.997，P=0.00)、病程(OR=2.749，P=0.00)、住院次数(OR=3.748，P=0.00)及无家属照顾(OR=2.682，P=0.00)为精神分裂症患者自我病耻感和病耻抵抗影响独立危险因素。结论 精神分裂症患者自我病耻感和病耻抵抗状况不乐观，且影响因素较多，因此社会和家庭应多给予精神分裂症患者关心和支持，更好的改善其心理状况和生存质量，积极给予治疗，缩短其病程，减少住院次数，从而有助于降低精神分裂症患者自我病耻感和病耻抵。
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| Abstract |
Abstract：objective To explore the factors of schizophrenic patients self-shame and shame resistance, and to provide reference for improving the mental health of patients.Methods From February, 2015 to September, 2016, 200 patients in our outpatient or inpatient department were enrolled in this study.(WHOQOL) -BREF (World Health Organization of Quality of Life (WHOQOL) -BREF) were used to assess the quality of life of the patients.), The Calgary Depression Scale (CDSS), and so on. And to assess patient self-shame and shame resistance.Results (1) self-shame and shame resistance rating: ISMI total score of (2.53±0.51) points, the moderate level. (P<0.05). (2) The factors influencing the self-shame and shame resistance of schizophrenic patients were as follows: single course of disease, hospitalization, depression, quality of life, PANSS score, chronic disease history, P=0.00), PANSS score (OR=2.997, P=0.00), course of disease (OR=2.749, P=0.00), multiple factors: The odds ratio (OR=3.748, P=0.00) and non - family care (OR=2.682, P=0.00) were independent risk factors for schizophrenic patients self - shame and shame resistance.Conclusion Schizophrenia patients with self-shame and shame resistance is not optimistic about the situation, and more factors, so the community and the family should give more care and support of schizophrenic patients, better improve their psychological status and quality of life, and actively give Treatment, shorten the course of the disease, reduce the number of hospitalization, which helps to reduce schizophrenia patients with self-shame and shame arrived.
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