通讯作者: 晁晶晶, 842151476@qq.com

DOI：10.12201/bmr.202501.00006

Analysis of the proactive coping status and influencing factors of schizophrenia patients with auditory hallucinations

• 摘要：目的 了解伴幻听症状的精神分裂症患者积极应对现状并分析影响因素。 方法 采用便利抽样法,选取2023年2月~10月在山东省某三级甲等精神专科医院住院的240例精神分裂症伴幻听患者为调查对象,采用一般资料调查表、简易应对方式问卷、领悟社会支持量表、自知力与治疗态度问卷进行调查。 结果 回收有效问卷236份,有效问卷回收率98.33%。伴幻听症状的精神分裂症患者积极应对得分(18.55±7.74)分,处于中等水平。多元线性回归分析结果显示,文化程度、领悟社会支持、自知力是患者积极应对得分的影响因素(P＜0.05)。 结论 伴幻听症状的精神分裂症患者积极应对有待进一步提高,护理人员可重点关注文化程度低、领悟社会支持能力低、自知力差的患者,制定针对性的干预措施,提升其积极应对水平。

  关键词： 精神分裂症; 幻听; 应对; 影响因素析; 护理

   

  Abstract: Objective To investigate the proactive coping of schizophrenia patients with auditory hallucinations and to analyze its influencing factors. Methods A total of 240 schizophrenia patients with auditory hallucinations who were hospitalized in a tertiary A psychiatric hospital in Shandong Province from February to October 2023 were selected by convenience sampling as respondents. General information questionnaire, simplified coping style questionnaire, perceived social support scale, insight and treatment attitude questionnaire were used to conduct the survey. Results A total of 236 valid questionnaires were collected, and effective questionnaire response rate was 98.33%. The proactive coping score of schizophrenia patients with auditory hallucinations was 18.55±7.74, which was at a moderately level. The results of multiple linear regression analysis showed that education level, perceived of social support, and self-awareness were the influencing factors of proactive coping to schizophrenia patients with auditory hallucinations (P<0.05). Conclusion The proactive coping of schizophrenia patients with auditory hallucinations needs to be further improved, and nursing staff can focus on patients with low education level, low ability to perceive social support and poor self-awareness, and formulate targeted interventions to improve their proactive coping to auditory hallucinations.

  Key words: Schizophrenia; Auditory Hallucinations; Coping; Influencing factor; Nursing Care

  提交时间：2025-01-02

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• 序号	提交日期	编号	操作
  1	2024-10-07	bmr.202501.00006V1	下载

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