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目的:评价以患者-家庭为中心探视模式对精神障碍患者照料者探视信念与态度的改善效果。方法:选用符合疾病和健康相关问题的国际统计分类第十次修订本诊断标准的各类精神障碍患者照料者140例，随机分为以患者-家庭为中心探视模式组(n=71)和常规探视模式组(n=69)。干预周期为4周，分别在干预前和干预后第1、2、3、4周后采用ICU探视信念与态度问卷(BAVIQ)调查照料者对探视的信念与态度改善的效果。结果:重复测量方差分析结果显示，以患者-家庭为中心探视模式组BAVIQ问卷信念评分、态度评分均高于常规探视模式组(均P<0.05)。χ2检验结果显示，以患者-家庭为中心探视模式组信念评分、态度评分改善效果明显优于常规探视模式组(均P<0.05)。结论:以患者-家庭为中心探视模式对精神障碍患者照料者探视信念与态度改善效果优于常规探视模式组。
Abstract：Objective:To evaluate the effectiveness of a patient-family-centered visiting model in improving caregivers′ beliefs and attitudes toward visiting patients with mental disorders.Methods:A total of 140 caregivers of inpatients diagnosed with mental disorders according to the ICD-10 were randomly assigned to an intervention group(n=71) and a control group(n=69).The intervention group participated a patient-family-centered visiting model for 4 weeks, while the control group followed routine visitation.Caregivers′ beliefs and attitudes were assessed using the Beliefs and Attitudes toward Visitation in ICU Questionnaire(BAVIQ) was used to assess the improvement in caregivers′ beliefs and attitudes before the intervention and at the end of the 1st, 2nd, 3rd, and 4th weeks after the intervention.Results:Repeated measures ANOVA showed that the belief score and attitude score of the BAVIQ questionnaire in the intervention group were significantly higher than those in the control group(Ps<0.05) across time points.Chi-square test further confirmed that the improvement in the intervention group were significantly better than in the control group(Ps<0.05).Conclusion:The patient-family-centered visiting model is more effective than routine visiting model in improving the caregivers′ visiting beliefs and attitudes in mental health settings.
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基本信息:
中图分类号:R749
引用信息:
[1]吴宇飞,严保平,欧思聪,等.以患者-家庭为中心探视模式对精神障碍患者照料者探视信念与态度的影响[J].中国心理卫生杂志,2025,39(12):1019-1024.
基金信息:
2019年度河北省医学科学研究课题计划（20190773）