精神分裂症患者精神症狀與生活壓力事件之探討

Exploring the Psychotic Symptoms and Stressful Life Events of Schizophrenic Patients

余靜雲(Ching-Yun Yu) ； 鍾信心(Hsin-Hsin Chung)

《精神衛生護理雜誌》 1卷2期 (2006/09) Pp. 37-44

https://doi.org/10.6847/TJPMHN.200609_1(2).0004

摘要

本文主要是探討門診精神分裂症患者之生活壓力事件、精神症狀及彼此的關係。以精神症狀評估量表及生活事件量表訪談135位門診精神分裂症患者後發現：(1)患者之生活壓力事件以「家人部分」之壓力感受最大，其中又以「與家人或親戚發生摩擦」最感壓力。(2)多數患者皆有殘存之精神症狀，負性症狀較活性症狀嚴重。(3)單身者、無工作者及無宗教信仰者其精神症狀比非單身者、有工作者及有宗教信仰者嚴重。(4)患者中生活性症狀愈嚴重、年齡愈小、愈早發病、女性患者的整體生活壓力感受較大。本研究建議護理人員要教導個案因應日常生活壓力之技巧，加強個案因應壓力之能力。且在與家屬之護理指導上，亦要教導與患者間較佳之溝通互動模式，以減少彼此相處時的壓力感受。

關鍵字

精神分裂症 ； 生活壓力事件 ； 精神症狀

並列摘要

The purposes of this study were to explore the relationship between the psychotic symptoms and stressful life events of schizophrenia. The researcher interviewed 135 outpatients using a psychotic symptoms scale and stressful life events scale. The findings were: (1) The highest level of stress was associated with ”arguments with family or relatives”. (2) Most of the schizophrenic patients had residual psychotic symptoms and their negative symptoms were more serious than their positive symptoms. (3) Patients who were single, jobless and didn't believe in religion had more psychotic symptoms. (4) Stressful life events and positive psychotic symptoms were found to correlate positively. Younger patients with earlier onset of schizophrenia had more life-event stress. On the basis of these findings, we suggest that nurses teach patients to cope with stress and communicate effectively with family in order to minimize that stress.

並列關鍵字

schizophrenia ； stressful life events ； psychotic symptoms