摘要
目的探讨首次住院精神分裂症患者复发与健康教育的关系。方法对220例首次住院精神分裂症患者经住院正规治疗出院满2年后,采用自编调查表(包括一般项目、目前精神状况、治疗依从性、家庭经济状况及住院期间是否接受过系统的健康状况教育等)复发情况进行调查,分析其相关因素。结果2年内复发者125例(65.1%),其中男性复发率为68.7%,女性复发率为59.7%,男女复发率比较,差别无显著性意义(χ2=1.41,P>0.05)。接受健康教育、治疗依从及家庭经济状况好者其复发率明显低于未接受健康教育、治疗不依从及家庭经济状况差者(χ2=20.99,22.70,11.35,P<0.01)。在诸多因素中,健康教育是预防复发的核心主导因素,治疗依从是关键因素。结论住院期间对患者实施健康教育可降低首次住院精神分裂症患者的复发率。
Aim To study the relation between recur and health education of the first episode inpatients with schizophrenia. Methods 220 inpatients with schizophrenia gone to hospital for the first time were selected to follow up for 2 years. Then a self edited questionnaire was conducted among all patients. Results The recurrence rate of the 192 cases was 65.1%(125/192): male recurrence rate was 68.8%(79/115) and female recurrence rate was 59.7%(46/77). There was no significant difference between males and females (χ2=1.41, P >0.05). The recurrence rate of the patients who had the health education, good economic status and good treatment compliance was obviously lower than that of the others(χ2=20.99,22.70,11.35,P< 0.01). In those factors, health education was the core factor and the compliance to treatment was the key factor.Conclusion The health treatment of inpatients gone to hospital for the first time could decrease the recurrence rate of schizophrenia.
出处
《中国临床康复》
CSCD
2003年第12期1776-1777,共2页
Chinese Journal of Clinical Rehabilitation
