社区精神分裂症患者精神康复状况及相关因素调查  

A study of mental rehabilitation states and its relative factors of patients with schizophrenia in community

作　　者：张健翎 潘忠德[2] 孙保和[1] 任雪雷[1] 

机构地区：[1]上海市徐汇区斜土街道社区卫生服务中心,上海200032 [2]上海市徐汇区精神卫生中心

出　　处：《中国民康医学》2006年第6期168-171,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:了解社区精神分裂症患者的精神康复状况并分析相关影响因素。方法:应用自编问卷收集178例社区精神分裂症患者的精神康复相关资料,由精神科医生对患者评定社会功能缺陷筛选量表(SDSS)、临床大体印象量表(CGI)、简明精神病量表(BPRS)。结果:轻度精神残疾者为60.7%,中度及以上者为39.3%。患者的年龄、婚姻状况、首次发病年龄、病程、住院次数、治疗依从性、病情严重程度、精神症状及自知力与患者的社会功能恢复情况显著相关。结论:社区精神分裂症患者多数社会功能恢复较好,患者的社会人口学特征、治疗依从性和病情严重程度影响康复状况。Objective：To investigate the mental rehabilitation states and its relative factors of patients with schizophrenia in community. Methods： Self- developed questionnaires were used to investigate the relative mental rehabilitation information of the 178 patients with schizophrenia in community,and the patients were measured with, Social Disability Screening Schedule （SDSS）. Clinical Global Impression （CGI） and Brief Psychiatric Rating Scale （BPRS）. Results： 60.7 % of patients were mild mental disabled, 39.3 % of patients were moderate and above mental disabled. Age, marrage years of firs onset, course of disese, hospitalization times, treatment compliance, severity of disease, psychotic symptoms and insight are relevant with the patients＇ degree of social function. Conclusion： Most of the patients＇ social function with schizophrenia in community recovers well. Patients＇ socio - demographic characteristics, treatment compliance and severity of illness influences the patients＇ rehabilitation state.

关 键 词：社区 精神残疾 精神分裂症 

分 类 号：R749.3[医药卫生—神经病学与精神病学]