伤害行为的非自愿住院精神分裂症患者相关因素分析

Analysis on Related factors of Involuntary Hospitalization Schizophrenics with an act of injury behavior.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(2)
作者
作者单位

上海市嘉定区精神卫生中心 ;

摘要
探讨影响非自愿住院精神分裂症患者发生有伤害行为的相关影响因素,为社区精神分裂症患者管理提供依据。方法 选取我院2013年1月至2015年12月收治的已经发生伤害行为的非自愿住院精神分裂症患者44例作为研究组,采用1:2病例对照研究,按照年龄±5岁作为匹配因素,选取同期收治的无伤害风险的精神分裂症患者88例作为对照组,利用自行设计的调查表收集相关因素。结果 单因素分析结果显示, 是否本地户籍、是否在管、性格、婚姻状况、家庭月平均收入、监护情况、服药情况、既往伤害史、首次发病年龄、病程对于社区精神分裂症患者伤害行为具有统计学意义(t/2/Z=11.23、12.74、7.28、7.16、8.97、33.00、16.17、37.23、25.70、29.47、-2.33,P均<0.05),多因素Logistic回归分析提示,婚姻状况、监护情况、是否在管、既往伤害史可能是非自愿住院精神分裂症患者发生伤害行为的主要影响因素。结论 非自愿住院精神分裂症患者的伤害行为的发生与婚姻状况、监护情况、是否在管、既往伤害史有关联,因此,在社区管理中应当重点结合以上因素对相关患者加强管理。
Abstract
Objective To explore the relationship between injury behaviors among Involuntary Hospitalization Schizophrenics and their socioeconomic status and to provide theoretical foundation for Schizophrenia management in community. Methods 44 involuntary hospitalization schizophrenia patients with injury behaviors were recruited from January 2013 to December 2015, A 1:2 case-control study was conducted with 88 schizophrenia patients without injury behaviors were recruited during the same time period as control group, matched by age(±5). We used our self-designed questionnaires to collect socioeconomic status information from two groups. Results Single factor analysis showed that local residence, enrollment in community schizophrenia management program, character, marital status, household income, guardianship, medication, injury history, age at first onset and duration of symptoms were significantly different among schizophrenia patients who had Injury behaviors and who did not have(t/2/Z=11.23、12.74、7.28、7.16、8.97、33.00、16.17、37.23、25.70、29.47、-2.33, P<0.05).The multivariate logistic regression analysis showed that marital status, guardianship, enrollment in community schizophrenia management program, and injury history were the main factors affecting injury behavior among Schizophrenics. Conclusion Injury behavior of Schizophrenics are related to marital status, guardianship, enrollment in community schizophrenia management program, and injury history were the main factors. We should focus on strengthening the above factors in community management.
关键词
精神分裂症;伤害行为;非自愿住院;相关因素
KeyWord
Schizophrenia; Injury behavior; Involuntary Hospitalization; Social economic factors
基金项目
页码 263-266
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赵晓光,赵姣文*. 伤害行为的非自愿住院精神分裂症患者相关因素分析 [J]. 国际精神病学杂志. 2018; 45; (2). 263 - 266.

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