精神科开放病房住院患者家属的症状自评量表调查

摘要

目的 了解精神科开放病房住院患者家属的心理压力状况,分析原因,探讨对策.方法 采用症状自评量表(SCL-90)对192名精神科开放病房住院患者家属和200名综合科住院患者家属进行调查,运用χ2检验对结果进行统计分析.结果 症状自评量表评分,精神科开放病房住院患者家属中躯体化、强迫、抑郁、敌对、偏执因子分高于综合科住院患者家属(P＜0.05);精神科开放病房住院患者家属SCL-90各因子分均高于国内常模,其中躯体化、强迫、抑郁、焦虑、敌对、偏执因子分差异显著(P＜0.05);精神科开放病房中高中及中专以下学历组家属中抑郁、焦虑、偏执因子评分较大专及本科以上学历组家属高,差异有统计学意义(P＜0.05);精神科开放病房住院患者女性家属中躯体化、抑郁因子分显著高于男性家属(P＜0.05).结论 神科开放病房住院患者家属为心理问题多发人群,对他们进行针对性的心理健康教育非常必要.%Objective To understand psychological pressure in the family members of hospitalized psychiatric patients staying at open wards and to explore the causes and management. Methods 192 family members of psychiatric patients and 200 of other patients were surveyed by the Symptom Checklist 90 (SCL-90). The data were analyzed by χ2 test. Results Scores of somatization,obsessive-compulsiveness,depression,hostility,and paranoid ideation were greater in the family members of psychiatric patients than those of other patients (P＜0.05);Scores of somatization,obsessive-compulsiveness,depression,anxiety,hostility and paranoid ideation of the family members of psychiatric patients were greater than those of the national norm (P＜0.05). In the family members of psychiatric patients,scores of depression,anxiety,and paranoid ideation were different with their educational background (P＜0.05) while somatization and deprssion were different with gender (P＜0.05). Conclusions The family members of hospitalized psychiatric patients staying at open ward are the major population who have psychological problems.Proper mental health education for them is necessary.