文章摘要
杜红梅,李建建,钭丰,赵怡妮,马执彬,杨超,胡晓斌.社会支持对精神分裂症患者生活质量和家属生活满意度的影响[J].中华流行病学杂志,2023,44(5):786-790
社会支持对精神分裂症患者生活质量和家属生活满意度的影响
Impact of social support for schizophrenia patients on their quality of life and family life satisfaction
收稿日期:2022-09-29  出版日期:2023-05-13
DOI:10.3760/cma.j.cn112338-20220929-00830
中文关键词: 精神分裂症  社会支持  家庭负担  生活质量  生活满意度  中介作用
英文关键词: Schizophrenia  Social support  Family burden  Quality of life  Life satisfaction  Intermediary role
基金项目:兰州大学服务甘肃省经济社会发展专项研究(2019-FWZX-11);精神分裂症患者疾病负担现状及影响因素研究[20201118-(20)0559]
作者单位E-mail
杜红梅 兰州大学公共卫生学院流行病与卫生统计学研究所, 兰州 730000  
李建建 兰州大学公共卫生学院流行病与卫生统计学研究所, 兰州 730000  
钭丰 兰州大学公共卫生学院流行病与卫生统计学研究所, 兰州 730000  
赵怡妮 兰州大学公共卫生学院流行病与卫生统计学研究所, 兰州 730000  
马执彬 兰州大学公共卫生学院流行病与卫生统计学研究所, 兰州 730000  
杨超 兰州大学公共卫生学院流行病与卫生统计学研究所, 兰州 730000  
胡晓斌 兰州大学公共卫生学院流行病与卫生统计学研究所, 兰州 730000 huxiaobin@lzu.edu.cn 
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中文摘要:
      目的 探讨精神分裂症患者获得的社会支持、家属家庭负担与患者生活质量及家属生活满意度的关系。方法 采用多阶段分层整群随机抽样,在甘肃省抽取符合纳入标准的358名精神分裂症患者及358名患者家属作为研究对象,采用社会支持评定量表、家庭负担量表、生活满意度量表、生活质量量表进行调查。采用AMOS 24.0软件探究家属家庭负担在精神分裂症患者获得的社会支持与患者生活质量、家属生活满意度间的影响路径。结果 患者获得的社会支持、生活质量、家属的家庭负担和生活满意度间呈两两显著相关(P<0.05),且社会支持量表总分负向预测生活质量量表总分(β=-0.28,P<0.05),正向预测生活满意度量表总分(β=0.52,P<0.05);家属家庭负担在患者获得的社会支持与其生活质量间起完全中介的作用,而在患者获得的社会支持与家属生活满意度间,起部分中介的作用。结论 精神分裂症患者获得的社会支持对其生活质量和家属生活满意度有显著的预测作用,家属家庭负担在患者获得的社会支持与生活质量、家属生活满意度的关系中起中介作用,可基于增加对患者的社会支持和减轻家属家庭负担进行干预以提高患者生活质量及增加家属生活满意度。
英文摘要:
      Objective To explore the relationship of social support to patients with schizophrenia, family burden with patients' quality of life and family life satisfaction. Methods Multi-stage stratified cluster random sampling was used to select 358 patients with schizophrenia and 358 patients' family members in Gansu Province who met the inclusion criteria were included. The Social Support Rating Scale, Family Burden Scale, Satisfaction with Life Scale and Quality of Life Scale were used in the survey. AMOS 24.0 was used to explore the pathway of influence of family burden on social support to patients with schizophrenia, patients' quality of life and patients' family life satisfaction. Results There was a two-by-two significant correlation between patients' access to social support, family burden, patients' life quality and family life satisfaction (P<0.05), and the total score of the social support scale negatively predicted the total score of the life quality scale (β=-0.28, P<0.05) and positively predicted the total score of the life satisfaction scale (β=0.52, P<0.05). Family burden was a full mediator between the social support to the patient and the patient's quality of life, and as a partial mediator between the social support to the patient and the family's life satisfaction. Conclusions Social support to people with schizophrenia is a significant predictor of their quality of life and family life satisfaction. Family burden mediates the relationship of social support to patients with their quality of life and family life satisfaction. Interventions can focus on increasing social support for the patient and reducing the burden on the patient's family to improve the patient's quality of life and increase the satisfaction of the patient's family.
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