天津护理 ›› 2026, Vol. 34 ›› Issue (4): 437-441.DOI: 10.3969/j.issn.1006-9143.2026.04.011

• 调查与分析 • 上一篇    下一篇

精神分裂症稳定期住院患者决策冲突现状及影响因素分析

谢志彬 1 何许聪 2 李彩玲 1 丘满芳 1 陈忠达1   

  1. (1. 梅州市第三人民医院,广东 梅州 514000;2. 广州医科大学附属脑科医院)
  • 出版日期:2026-08-28 发布日期:2026-09-02

Analysis of influencing factors of decisional conflict among inpatients with stable schizophrenia: a cross-sectional study

XIE Zhibin1 , HE Xucong2 , LI Cailing1 , QIU Manfang1 , CHEN Zhongda1   

  1. (1.Meizhou Third People's Hospital, Meizhou Guangdong 514000; 2.The Affiliated Brain Hospital of Guangzhou Medical University)
  • Online:2026-08-28 Published:2026-09-02

摘要: 目的:分析精神分裂症稳定期住院患者决策冲突的现状和影响因素。方法:采用便利抽样法,选取某三级公立医院住院的205 例精神分裂症稳定期住院患者作为研究对象。采用一般资料调查表、决策冲突量表、社会支持量表、一般自我效能感量表、全面健康素养测量量表进行调查。结果:精神分裂症稳定期住院患者决策冲突总分为 46.87(40.62,51.56)分。多重线性回归分析显示,子女情况、社会支持、自我效能、健康素养是决策冲突的影响因素,共解释总变异的 24.9%。结论:精神分裂症稳定期住院患者决策冲突水平较高,受子女情况、社会支持、自我效能、健康素养等多种因素影响。医护人员应制定个体化的针对性干预措施,以降低其决策冲突水平。

关键词: 精神分裂症, 决策冲突, 社会支持, 自我效能, 健康素养

Abstract: Objective: To analyze the current status and influencing factors of decisional conflict among inpatients with schizophrenia in the stable phase. Methods: By using the convenience sampling method, 205 patients with schizophrenia in the stable stage who were hospitalized in a tertiary public hospital were selected as the research subjects. The investigation was conducted by using general information questionnaire, Decisional Conflict Scale, Social Support Rating Scale, General Self-Efficacy Scale, and All Aspects of Health Literacy Scale. Results: The total score of decisional conflict among inpatients with stable schizophrenia was 46.87(40.62, 51.56). Multiple linear regression analysis showed that number of children, social support, self-efficacy, and health literacy were the influencing factors of decisional conflict, explaining 24.9% of the total variance. Conclusion: The level of decisional conflict among inpatients with schizophrenia in the stable stage is relatively high, and it is affected by various factors such as the number of children, social support, self-efficacy, and health literacy. Medical staff should formulate intervention measures accordingly to reduce the level of decisional conflict.

Key words: Schizophrenia, Decisional conflict, Social support, Self-efficacy, Health literacy