收稿日期: 2021-07-29
网络出版日期: 2022-07-22
基金资助
湖南创新型省份建设专项经费资助项目(2021SK2009);宁夏回族自治区重点研发计划（对外科技合作专项）项目(2019BFG02023);2021年度湖南省卫生健康委科研计划项目(202114052222)
The mediating effect of hope level in stigma and social dysfunction in patients with schizophrenia
目的 探讨希望水平在精神分裂症稳定期住院患者病耻感及社会功能缺陷间的中介作用。方法 采用便利抽样法选取湖南省某三级医院2021年1月至6月的精神分裂症住院患者为调查对象,采用精神分裂症患者希望量表、贬低-歧视感知量表、社会功能缺陷筛查量表进行问卷调查。结果 217例精神分裂症患者病耻感得分为（29.25±3.40）分,希望得分为（9.41±1.85）分,社会功能缺陷得分为（6.64±3.37）分。希望水平在精神分裂症患者病耻感及社会功能缺陷间存在部分中介作用,效应值为0.243,占总效应38.4%。结论 病耻感可通过希望水平间接影响精神分裂症患者社会功能缺陷。在治疗康复中,医务人员和患者家属都应重点关注患者的病耻感及希望水平,加强患者自我肯定训练,促进社会功能恢复,帮助患者回归社会。
向婷婷 , 蒋小剑 , 李梅枝 , 刘娟 , 王伟月 , 王礼意 . 希望水平在精神分裂症患者病耻感及社会功能缺陷间的中介作用[J]. 中华护理教育, 2022 , 19(7) : 657 -661 . DOI: 10.3761/j.issn.1672-9234.2022.07.015
Objective To explore the mediating role of hope level between stigma and social dysfunction in patients with schizophrenia. Methods The inpatients with schizophrenia in a tertiary hospital in Hunan province from January to June 2021 were selected by convenience sampling. The Schizophrenia Hope Scale（SHS）,Perceived Devaluation-Discrimination Scale（PDD）,and the Social Disability Screening Schedule（SDSS） were used. Results The PDD score of 217 schizophrenic patients was（29.25±3.40）. The SHS score was（9.41±1.85）. The SDSS score was（6.64±3.37）. Hope level had a partial mediating effect between stigma and social dysfunction in schizophrenia patients,accounting for 38.4% of the total effect. Conclusion Stigma can indirectly affect social functioning deficits in patients with schizophrenia through hope levels. During treatment and rehabilitation,both medical staff and patients’ family members should focus on the patient’s stigma and hope level,strengthen the patient’s self-affirmation training,reduce the patient’s social function deficit,and promote the patient’s return to society.
Key words： Schizophrenia; Questionnaires; Hope; Stigma; Social function
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