摘要

【摘要】
目的：初步调查一户多名精神分裂症患者的自我管理及影响因素。

方法：于2017年11月至2018年5月在重庆市选取106户至少含一名精神分裂症患者的一户多名严重精神障碍家庭纳入本研究，使用自我管理量表和自编一般社会人口学及临床资料调查表进行调查。

结果：①两名精神分裂症患者在自我管理服药依从性（r=0.570）、药物自我管理（r=0.584）、精神症状自我管理（r=0.688）、维持日常生活及社会功能（r=0.631）、利用资源及支持（r=0.709）、自我效能（r=0.733）六个维度得分上均存在相关；②患者自我管理能力与患者自身文化、年龄、病程之间存在相关；③协方差分析

结果显示，家族性与散发性精神分裂症患者相比，药物管理（F=6.861）、维持功能（F=4.741）维度得分差异具有统计学意义，不同数量监护人之间患者自我管理各维度得分差异无统计学意义。④多元线性回归方程显示，居住地、患者文化、是否与监护人同住、是否是家族性患者对自我管理有影响。

结论：一户两名精神分裂症患者自我管理能力存在相关，患者自我管理能力与自身文化、年龄、病程有关，家族性与散发性精神分裂症患者在药物管理和维持功能上存在差异，患者自我管理受多种因素影响。

关键词：精神分裂症；自我管理

ABSTRACT

【Abstract】
Objective:To explore the status and influence factors about self-management on schizophrenia in double severe mental disorder patient family.

Methods:selected at least had 1 schizophrenia family from 106 severe mental disorder families in Chongqing from November 2017 to May 2018, general social demographic and clinical data were collected, self-management scale was used.

Results:①The correlation coefficient of self management in six dimensions compliance (r=0.570), drug self management (r=0.584), mental symptom self-management (r=0.688), maintenance of daily life and social function (r=0.631), utilization of resources and support (r=0.709), and self-efficacy (r=0.733) were statistically significant in two schizophrenia patients. ②The patients’ self-management ability was related to the patient's own educational level, age and duration. ③Covariance analysis showed that there were significant differences in the scores of drug self management (F=6.861)and maintenance of daily life and social function(F=4.741)dimensions in familial and sporadic schizophrenia, and there was no significant difference in the scores of each dimension between the different numbers of guardians. ④Multiple linear regression equations showed place of residence, patient's education, patients and guardians live together, familial psychosis had an impact on self-management.

Conclusion  : There is correlation in self-management ability between two schizophrenia patients. The self-managementability was related topatients own education, age and duration. The family and sporadic schizophrenia were different in drug management and maintenance function, and the self-management was affected by many factors.

Key words: Schizophrenia; Self-management