MHI (COE)、SCBMCH、Cuttack住院精神病患者重要家庭成员心理社会问题及应对策略的研究

S. Behera, Sikandar Kumar
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引用次数: 0

摘要

采用非概率方便抽样方法,对50名精神病患者重要家庭成员进行描述性定量研究,以评估精神病患者重要家庭成员的心理社会问题及应对策略。数据采集时间为2020年2月10日至2020年3月10日,采用李克特4点量表编制心理社会问题问卷。以及Carver等人的COPE量表,量表采用4分制。收集的数据采用描述性统计和推理统计进行分析。调查结果显示,最高百分比(40%)的家庭成员在48-60岁年龄组。他们中的大多数(66%)是男性,其中(92%)是印度教徒,(8%)是穆斯林。他们中的大多数(60%)已婚(36%)是农民。其中最高比例(30%)是文盲,大多数(50%)的收入≤5000卢比,其中(56%)来自核心家庭。其中58%的女性来自农村,44%的女性为母亲。大多数(38%)患者患病超过5年,76%的患者无家族史。本研究中大多数精神病患者的重要家庭成员(84%)存在中度问题,其中(8%)存在轻度问题,也有(8%)存在严重问题。精神病患者重要家庭成员最常使用的应对策略为克制性应对(15.64±0.66)和工具性社会支持(15.64±0.52),最不常用的应对策略为幽默性应对(4.04±0.28)和酒精脱离(4.38±0.28)。COPE量表的内部一致性Cronbach 's alpha (α)系数为0.93(情绪性社会支持)和0.90 - 0.41(克制性应对)。而(抑制应对)则表现出较低的α。精神疾病患者的重要家庭成员主要采用问题关注型应对策略(14.12±1.37)。
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A Study to assess the Psychosocial problems and coping strategies of significant family members of mentally ill patients admitted at MHI (COE), SCBMCH, Cuttack
A descriptive study with quantitative approach was under taken on 50 significant family members of mentally ill patients selected by non probability convenient sampling technique at Mental Health Institute (COE), SCBMCH, Cuttack to assess the psychosocial problems and coping strategies of significant family members of mentally ill patients. Data was collected from 10.02.2020 to 10.03.2020 through questionnaire on psychosocial problems formulated in the form of 4-point likert scale. and COPE Inventory by Carver et al. rated on a 4-point scale format. Collected data were analyzed by using descriptive and inferential statistics. Findings revealed that Highest Percentage (40%) of the family members were in the age group of 48–60 years. A majority (66%) of them were male and (92%) of them were Hindus and (8%) of them were Muslim. Majority (60%) of them were married (36%) of them were farmer. Highest percentage (30%) of them were illiterate and majority (50%) of them were having income ≤ Rs.5000 and (56%) of them from nuclear family. Highest percentage (58%) of them were from rural area and (44%) of them were mother. Majority (38%) of them had >5 years of illness and (76%) of them were having no family history. Most of the significant family members of mentally ill patients (84%) under this study had moderate problem whereas (8%) of them had mild and also (8%) severe problems. The coping strategy most often used by the significant family members of mentally ill patients was restraint coping mean score (15.64±0.66) and instrumental social support mean score (15.64±0.52) and the least used was Humor mean score (4.04±0.28) and Alcohol disengagement mean score (4.38±0.28). The internal consistency of COPE Inventory exhibited Cronbach’s alpha (α) coefficients ranging from 0.93 (Emotional social support) and Instrumental social support (0.90) to 0.41 (Restraint coping). However, the (Restraint coping) shows lower alfa (α). Mostly Problem focused coping strategies (14.12±1.37) was used by the significant family members of the mentally ill patients.
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