| 摘要 |
目的：分析北京市社区精神分裂症患者危险行为相关因素。方法：数据来自在北京市5个区登记在册的精神分裂症的患者，采用回顾性研究，评估患者发生危险行为的相关因素。结果：786例精神分裂症患者中，发生危险行为195例，与无危险组比较，有危险组中年龄、文化水平、家庭经济状况、家族史、应激生活事件、幻觉妄想、情绪高涨、怪异行为、服药情况、就医态度方面均存在显著性差异（P <0.05）；多因素回归分析显示精神分裂症患者的6个危险因素：年龄（OR=0.116,P <0.01）、文化水平（OR=0.395，P <0.01）、家族史（OR=2.519,P <0.01）、幻觉妄想（OR=3.032,P <0.01）、情绪高涨（OR=1.991,P <0.01）服药情况（OR=2.097,P <0.05）；结论：社区应加强评估精神分裂症患者发生危险行为的相关因素，并进行综合防范管理。
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| Abstract |
Objective: To explore the serious risk behaviors of patients with schizophrenia and risk factors. Methods: A total of 786 patients were completed in5 districts in Beijing, serious risk behavior in patients with schizophrenia was evaluated. Result: Compared to non aggressive group, age, educational level, family economy, family history, stress events, mental symptoms, emotional irritability, unusual behavior,medication condition,attitude towards medical treatment, the difference was significant(P<0.05); Multiple logistic regression analysis revealed that age(OR=0.116,P<0.01),educational level(OR=0.395,P<0.01), family history(OR=2.519,P<0.01),mental symptoms(OR=3.032,P<0.01),emotional irritability(OR=1.991,P<0.01),medication condition(OR=2.097,P <0.05)were significantly associated with aggressive behavior. Conclusion: It suggests that the community should strengthen the assessment of the risk behaviors in schizophrenics, and carry out comprehensive prevention and management.
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