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成年精神分裂症门诊患者的家庭支持与适应机制

Family support and adaptation mechanisms of adults outpatients with schizophrenia.

作者信息

Widiyawati Wiwik, Yusuf Ah, Devy Shrimarti Rukmini, Widayanti Dini Mei

机构信息

Doctoral Program of Public Health, Faculty of Public Health.

Faculty of Medicine, Universitas Muhammadiyah Gresik, Indonesia.

出版信息

J Public Health Res. 2020 Jul 3;9(2):1848. doi: 10.4081/jphr.2020.1848.

Abstract

The presence of psychotic symptoms in adults' with schizophrenia need an increase in family control and support to prevent the risk of aggressive behavior. However, the issue of whether psychotic symptoms hold any clinical relevance in relatively stable outpatient samples has not been established. The purpose of this study, therefore, was to identify the relationship between family supports and adaptation mechanisms of adults' outpatients with schizophrenia. The study design involves quantitative research and descriptive correlation, attained through purposive sampling approach. 101 samples were obtained from the population of schizophrenia outpatients. The questionnaires of House & Kahn were used as an instrument to evaluate family support, while Nursalam questionnaires were used to access adaptation skills. Findings from Spearman's rho test showed P<0.005, indicating the provision of high family support, while patients were highly adaptive to the symptoms of schizophrenia. This study indicates the positive influence of family support on the adaptability of schizophrenia outpatients, hence there is need for relatives to provide good level of support, in order to facilitate adaptability.

摘要

患有精神分裂症的成年人出现精神病性症状时,需要加强家庭管控和支持,以预防攻击行为的风险。然而,在相对稳定的门诊样本中,精神病性症状是否具有任何临床相关性这一问题尚未明确。因此,本研究的目的是确定精神分裂症成年门诊患者的家庭支持与适应机制之间的关系。该研究设计采用定量研究和描述性相关性研究,通过立意抽样法获得。从精神分裂症门诊患者群体中选取了101个样本。使用豪斯和卡恩问卷作为评估家庭支持的工具,而努尔萨拉姆问卷则用于评估适应技能。斯皮尔曼等级相关检验的结果显示P<0.005,表明提供了高水平的家庭支持,同时患者对精神分裂症症状具有高度适应性。本研究表明家庭支持对精神分裂症门诊患者的适应性具有积极影响,因此亲属需要提供良好水平的支持,以促进适应性。

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