| Objective:To investigate the level of family burden of schizophrenic patients at present,to further analyze the related factors of family burden of schizophrenic patients,to track the change of symptoms of schizophrenic patients,to evaluate the curative effect,and to analyze the possible influence on the family burden of schizophrenic patients.The aim of this study is to provide theoretical basis for mental health workers to intervene patients and caregivers in order to lighten the family burden.Method: samples for September 2017 to December 2018 in Wuhu The fourth people's hospital,and accord with standard of check in schizophrenia patients and their families,for admission as a benchmark,was admitted to hospital after 4 weeks,6 weeks were completed for The patient group general situation questionnaire,Positive and Negative Syndrome Scale(The Positive and Negative Syndrome Scale,PANSS),Clinical curative effect overall rating Scale(Clinical Global Impression).A total of 124 subjects were enrolled in this study and 87 cases were completed.Results:(1)on admission of family burden scale factor 1(family economic burden)positive response rate was 25.3%,the factor 2(family daily activities)positive response rate was 50.6%,the factor 3(home entertainment activities)positive response rate was34.5%,the factor 4(relationships)positive response rate was 55.2%,the factor 5(family members healthy body)positive response rate was 40.2%,the positive factor 6(mental health)family members answer rate was 70.1%.(2)Regression analysis of the influencing factors of FBSD scale showed that the regression equation of G13,G7,G3,N4,P7 and FBS had statistical significance(P < 0.05);the regression equation of G13,hospitalization times,gender and factor 1 had statistical significance(P < 0.05);the regression equation of G13,G7,G3,gender,P4 and factor 2 had statistical significance(P < 0.05);the regression equation of G13,N2,G3 and factor 3 had statistical significance(P < 0.05);the regression equation of G2,P7 and Factor 4 had statistical significance(P < 0.05);the regression equation of G14,N4 and family history had statistical significance for Factor 5(P < 0.05);the regression equation of P3,G10,hospitalization times and Factor 6 had statistical significance(P < 0.05).(3)at week 4,SI(severity of illness)was correlated with scores of factor 1,factor 3 and factor 4.GI(overall evaluation of efficacy)was correlated with scores of factor 1,factor 2,factor 4,factor 5 and factor 6.EI(efficacy index)was correlated with scores of factor 2,factor 3and factor 6.The side effect was related to factor 3 score.The medication was related to the scores of factor 3 and factor 4.(4)at week 6,SI(severity of illness)was correlated with scores of factor 1,factor 3 and factor 6.GI was correlated with scores of factor 2,factor 4,factor 5 and factor 6.EI(curative effect index)was correlated with scores of factor 3 and factor 6.The side effects were related to the scores of factor 2,factor 3 and factor 4.Medication was associated with factor 3 score.(5)After three measurements,there was significant difference in the total score of P between the 0 week,4 week and 6week(P < 0.005),and there was significant difference in the total N score between the 0week,4 week and 6 week(P < 0.005).There was significant difference in G total score between 0 week,4 week and 6 week(P < 0.005).There was a significant difference in the total score of PANSS between the 0 week,4 week and 6 weeks(P < 0.005).(6)There was significant difference in the total score of FBSD scale between the 0 week,4week and 6 week(P < 0.005).Conclusion: 1.The family members of schizophrenic patients are heavily affected in three aspects: family daily activities,family relations and family members' mental health.2.There is a linear dependence between family burden and G13,G7,G3,N4,P7,which is significantly affected by these factors.The family burden of patients is positively correlated with G13,G7,P7 and negatively correlated with G3 and N4.3.Family daily activities and family members 'mental health were affected by EI efficacy index.4.Family burden is not unchanged.The use of antipsychotics can significantly reduce the impact of disease on family daily activities and physical health of family members,and help to alleviate family burden. |
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