稳定期精神分裂症患者攻击行为影响因素分析

Influencing factors of aggressive behavior in stable nursing home patients with schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(5)
作者
作者单位

重庆市精神卫生中心 ;
重庆市江北区精神卫生中心 ;

摘要
探讨稳定期精神分裂症患者攻击行为发生的影响因素。方法 选取2020年1月至2021年1月在重庆市精神卫生中心门诊及住院伴攻击行为的精神分裂症患者177例作为研究组,另选取与研究组性别、年龄相匹配的无攻击行为精神分裂症160例作为对照组,采用社会功能缺陷筛选量表(Social Disability Screening Schedule, SDSS)、家庭亲密度与适应性量表、匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)量表及自编一般情况调查表进行调查。结果 两组患者在病程、监护情况、服药情况、自知力、PSQI、SDSS、亲密度、适应性得分差异具有统计学意义(P<0.05);Logistic回归分析显示,服药情况、监护情况、自知力是攻击行为发生的独立风险因素,病程、家庭适应性是攻击行为发生的保护因素。结论 稳定期发生攻击行为的精神分裂症患者的睡眠状况、社会功能、家庭亲密度与适应性均较差,服药情况、监护情况、自知力、病程、家庭适应性是攻击行为发生的影响因素。
Abstract
Objective To explore the influencing factors of aggressive behavior in stable nursing home patients with schizophrenia. Methods 177 stable schizophrenic patients with aggressive behavior were selected as the study group in the outpatient and inpatient department of Chongqing mental health center from January 2020 to January 2021, and another 160 schizophrenic patients without aggressive behavior matched with the gender and age of the study group were selected as the control group. Social disability screening schedule (SDSS), family intimacy and adaptability scale, Pittsburgh sleep quality index (PSQI) scale and self-made general situation questionnaire were used to survey. Results There were significant difference in duration,  guardianship, medication, insight, PSQI, SDSS, intimacy and adaptability between the study group and the control group (P < 0.05). Logistic regression analysis showed that guardianship, medication, insight were high risk factors and duration, adaptability were protective factors of aggression in stable nursing home patients with schizophrenia. Conclusions Stable nursing home patients with schizophrenia have poor sleep status, social function, family intimacy and adaptability. Medication, guardianship, insight, duration and family adaptability are the influencing factors of aggressive behavior.
关键词
精神分裂症;攻击;
KeyWord
schizophrenia; aggression;
基金项目
页码 1190-1193
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张银玲,史战明,赵科*. 稳定期精神分裂症患者攻击行为影响因素分析 [J]. 国际精神病学杂志. 2023; 50; (5). 1190 - 1193.

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