[1]王新语,林国荣,唐中玉,等.治疗同盟和自尊在经历机械约束的住院精神障碍患者病耻感和胁迫体验间的链式中介作用[J].军事护理,2022,39(09):5-8.[doi:10.3969/j.issn.1008-9993.2022.09.002]
　WANG Xinyu,LIN Guorong,TANG Zhongyu,et al.The Chain-Mediating Effects of Therapeutic Alliance and Self-Esteem in the Relationship between Stigma and Perceived Coercion in Psychiatric Patients Exposed to Mechanical Restraint during Hospitalization[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(09):5-8.[doi:10.3969/j.issn.1008-9993.2022.09.002]
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治疗同盟和自尊在经历机械约束的住院精神障碍患者病耻感和胁迫体验间的链式中介作用
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年09期
页码:
5-8
栏目:
精神卫生专栏
出版日期:
2022-09-15

文章信息/Info

Title:
The Chain-Mediating Effects of Therapeutic Alliance and Self-Esteem in the Relationship between Stigma and Perceived Coercion in Psychiatric Patients Exposed to Mechanical Restraint during Hospitalization
文章编号:
1008-9993(2022)09-0005-04
作者:
王新语1; 林国荣2; 唐中玉3; 蔡春凤1
(1.武汉大学 护理学院,湖北 武汉 430071; 2.武汉市精神卫生中心 康复一病区,湖北 武汉 430022; 3.武汉市精神卫生中心 护理部)
Author(s):
WANG Xinyu1; LIN Guorong2; TANG Zhongyu3; CAI Chunfeng1
(1.School of Nursing,Wuhan University,Wuhan 430071,Hubei Province,China; 2.Department of Rehabilitation,Wuhan Mental Health Center,Wuhan 430022,Hubei Province,China; 3.Department of Nursing,Wuhan Mental Health Center)
关键词:
胁迫体验;  病耻感;  治疗同盟;  自尊;  机械约束
Keywords:
perceived coercion;  stigma;  therapeutic alliance;  self-esteem;  mechanical restraint
分类号:
R473.74
DOI:
10.3969/j.issn.1008-9993.2022.09.002
文献标志码:
A
摘要:
目的 探讨病耻感对经历机械约束的住院精神障碍患者胁迫体验的影响,以及治疗同盟和自尊在其中的作用。方法 2021年2-7月,采用胁迫体验问卷、贬低-歧视感知量表、工作同盟量表、自尊量表对武汉市精神卫生中心便利抽取的270名住院期间经历过机械约束的精神障碍患者进行调查。结果 患者病耻感和胁迫体验得分分别为(29.62±6.17)分、(66.83±31.63)分。病耻感与胁迫体验呈正相关(P<0.001),病耻感可直接预测胁迫体验,也可通过治疗同盟、自尊及其链式中介作用间接预测胁迫体验。结论 降低病耻感、发展积极的治疗同盟、提升自尊是降低经历机械约束精神障碍患者胁迫体验的有效途径。
Abstract:
Objective To explore the relationship between stigma and perceived coercion,and the chain mediating roles of therapeutic alliance and self-esteem among psychiatric patients exposed to mechanical restraint during hospitalization.Methods From February to July 2021,270 psychiatric patients exposed to mechanical restraint during hospitalization in Wuhan Mental Health Center were selected to complete the questionnaires,including Coercion Experience Scale,Perceived Devaluation and Discrimination Scale,Working Alliance Inventory-Short Form Revised and Self-esteem Scale.Results The scores of stigma and perceived coercion for patients exposed to mechanical restraint were(29.62±6.17)and(66.83±31.63),respectively.Stigma was positively correlated with coercion(P<0.001).Stigma not only directly affected perceived coercion,but also indirectly affected perceived coercion through the therapeutic alliance,self-esteem and their chain mediating pathway.Conclusions Lowering stigma,developing positive therapeutic alliances and boosting self-esteem are effective ways to reduce the perceived coercion of psychiatric patients exposed to mechanical restraint.

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-01-18 【 修回日期 】 2022-06-10
【 基金项目 】 武汉市医学科研项目(WG20D12)
【 作者简介 】 王新语,硕士在读,从事精神心理研究
【 通信作者 】 蔡春凤,电话:027-68788719
更新日期/Last Update: 2022-09-15