精神分裂症病情稳定性的影响因素研究

Study on the Influencing Factors of the Stability of Schizophrenia

ES评分 0

DOI R749.3
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(1)
作者
作者单位

湖南中医药大学 ;
湖南省第二人民医院 ;
中南大学计算机学院 ;
湖南省脑科医院精神卫生中心办公室 ;

摘要
探讨湖南省在管精神分裂症患者病情稳定性的主要影响因素。方法 以国家中央补助地方严重精神障碍管理与治疗项目(686项目)为背景,选取2010年11月至2018年6月湖南省内录入国家严重精神障碍信息系统的累计资料,经清理数据后共筛选出144159例在管精神分裂症患者,观察数据分布特点,采用χ²检验及二分类逐步Logistic回归分析病情稳定性的影响因素。结果 在所研究因素中,自知力及服药规律性对病情稳定性的影响最为显著,其优势比分别为3.42、2.21;另外年龄在41岁以下、职业为农民、经济贫困、有家族史、性别为男性均是导致病情不稳定的危险因素。结论 提高自知力、规律服药、关注特定年龄段与低收入等群体的病情发展,对稳固精神分裂症患者的病情稳定性具有重要意义。
Abstract
Objective To investigate the main impact factors of the stability of patients with schizophrenia in Hunan Province. Methods With the fund of National Central Subsidy for Local Management and Treatment of Severe Mental Illness (known as "686" project), the data in the information system was recorded from Nov. 2010 to June 2018 in Hunan Province. A total of 144,159 patients with schizophrenia were enrolled after clearing the data. The Chi-Square Test was used to infer the relationship between the stability of the disease and the factors in research. The regression analysis showed the quantitative correlation between disease stability and significant factors. Results The lack of insight and irregular medication brings the most significant risks to the disease instability, and their Orient Ratio are 3.42 and 2.21 respectively. Some factors, such as age below 41 years old, farmer, poor, having family history or gender of male, are more positively correlated with the instability. Conclusion Improving self-knowledge, supervising regular medication, and disease tracking of the specific age and the low income are crucial for improving the stability of patients with schizophrenia.
关键词
精神分裂症;病情稳定性;危险因素;
KeyWord
Schizophrenia;Stability of schizophrenia;Risk factor
基金项目
页码 25-30
  • 参考文献
  • 相关文献
  • 引用本文

朱锁,刘学军*,肖雨桐,付文彬,谌良民,刘畅. 精神分裂症病情稳定性的影响因素研究 [J]. 国际精神病学杂志. 2020; 47; (1). 25 - 30.

  • 文献评论

相关学者

相关机构