摘要
目的:了解康复期精神分裂症患者对疾病复发危险因素的认识和影响的相关因素。方法:选择北京安定医院和北京门头沟龙泉医院自知力存在或部分存在,疾病严重度临床疗效总评分≤3分,诊断符合国际疾病分类法(ICD-10)的康复期精神分裂症患者173例。以自知力临床判定、明尼苏达多项人格调查表和自行设计的疾病复发因素调查表进行评定。结果:①康复期患者对疾病复发危险因素的选择(认可)大部分超过1/3。②首次发病患者,尤其男性患者对治疗依从性差是导致疾病复发的重要因素认识不足。③男性和女性在家庭关系紧张、突发的生活事件、停药、自行减药、同事关系紧张、患躯体疾病、不规律服药、社会歧视、经济拮据、忽视早期症状和对疾病的知识缺乏了解方面认识上存在较大的差异,有显著性意义(χ2=3.970～17.740,P=0.000～0.046)。④基层医院(北京门头沟龙泉医院)的患者对坚持药物治疗重要性的认识不足(17/49),强调对疾病知识缺乏了解(20/49),与北京安定医院(两者分别为43/71,27/71)比较,差异有显著性意义(P<0.05～0.01)。⑤抑郁分值较高者对自身的健康状况、社会歧视和经济收入问题比较敏感,社会内向分值和男性男子气-女子气分值低者对于家庭的过分干预自己不能接受。
AIM:To explore the perception of relapse risk factors and its related factors among patients with schizophrenia at convalescent phase. METHODS:Totally 173 convalescent patients with schizophrenia, who had insight or partial insight and the total score of clinical effect of severity was ≤3,were selected from Beijing Anding Hospital and Mentougou Longquan Hospital.All the patients were in accordance with the international classification of disease(ICD-10) criteria for schizophrenia,then they were assessed with clinical assessment of insight, Minisota multiple personality inventory(revised version) and a self-developed questionnaire for relapse risk factors. RESULTS:①Most patients knew more than 1/3 relapse risk factors;②Poor compliance of first episode patients, especially male patients, was an important risk factor for relapse;③There were significant differences in tension of family relation,sudden life events, drug withdrawal,reduction of drug by themselves,tension of inter-partner relation, body disease,irregular drug taking, social discrimination,short of money,neglect of early symptoms and deficient knowledge about the disease between males and females (χ2=3.970 to 17.740,P=0.000 to 0.046); ④Patients in primary hospitals(Mentougou Longquan Hospital of Beijing) had poor knowledge about the importance of long time drug treatment(17/49),deficient knowledge about the disease(20/49),significantly different from those in the Beijing Anding Hospital(43/71,27/71) (P< 0.05 to 0.01);⑤Patients with higher depression score were more sensitive to physical concern,social discrimination and economic income,while patients with lower scores of social introversion and masculinity-feminization were more unwilling to accept overprotection from their families.
出处
《中国临床康复》
CSCD
2004年第33期7370-7372,共3页
Chinese Journal of Clinical Rehabilitation
