不同临床背景精神分裂症患者延误治疗的影响因素(英文)  

Influential factors of delayed therapy in dementia praecox patients with various clinical backgrounds

作　　者：仲照希[1] 吕路线[2] 宋学琴[3] 贾梅志[4] 

机构地区：[1]新乡医学院第二附属医院早期干预二科,河南省新乡市453002 [2]新乡医学院第二附属医院精神病科,河南省新乡市453002 [3]郑州大学第一附属医院精神科,河南省郑州市475001 [4]解放军第二六一医院精神科,北京市100094

出　　处：《中国组织工程研究与临床康复》2007年第52期10708-10709,10716,共3页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景: 精神分裂症患者延误治疗的情况普遍存在, 给疾病的治疗和康复带来了很多问题.目的: 分析精神分裂症患者延误治疗的影响因素。设计: 以精神分裂症患者为观察对象的横断面研究。单位: 新乡医学院第二附属医院。对象: 全部病例选自新乡医学院第二附属医院某病区 2005- 01/06 住院的精神分裂症患者 96 例。其中男 52 例, 女 44 例, 年龄 16～55 岁, 平均(32.7±12.3) 岁; 初中以下( 包含初中) 学历 54 例, 高中以上( 包含高中)42 例。方法: 采用自制的调查表, 对每例患者的基本临床资料进行详细的调查记录, 内容有: 性别、婚否、文化程度、起病形式、家庭住址、家庭环境、经济状况、家族史等, 并将它们详细分类处理。调查每个类别患者延误治疗情况( 精神病患者在出现精神症状到接受恰当的治疗的时间超过 1 年为延误治疗) 。主要观察指标: 延误治疗率, 相关因素发生频率。结果: 96 例患者中延误治疗 60 例, 延误治疗率为 62.5%。对延误治疗影响因素 logistic 回归分析显示, 文化程度、家族史、起病形式、经济状况进入了回归方程 , 标准回归系数分别为 0.332 1, 0.210 1, 0.190 3,0.101 2。结论: 精神分裂症患者的文化程度、家族史、起病形式、经济状况是延误治疗的危险因素, 加强对这些因素的认识并进行早期干预对减少延误治疗率有重要作用。BACKGROUND： Delayed therapy widely occurs in patients with dementia praecox; therefore, it brings a series of difficulties for clinical treatment and rehabilitation, OBJECTIVE ： To analyze the influential factors of delayed therapy in patients with dementia praecox DESIGN ： Cross-sectional study based on patients with dementia praecox. SETTING ： The Second Affiliated Hospital of Xinxiang Medical College PARTICIPANTS： A total of 96 patients with dementia praecox, including 52 males and 44 females, were selected from the Second Affiliated Hospital of Xinxiang Medical College from January to June 2005. Their ages ranged from 16 to 55 years and the mean age was （32.7±12.3） years. Among them, 54 patients had middle-school education and 42 patients had high-school education. METHODS： A domestic inventory was used to carefully record basically clinical data of each patient, and the inventory included sex, marriage status, educational level, attack styles, home address, home environment, economic status, family history, etc. All data were classified and analyzed in details. In addition, condition of delayed therapy, which determined as the duration over 1 year from onset of psychiatric symptoms to accepted treatment, in each classification was surveyed gradually. MAIN OUTCOME MEASURES ： Delayed therapeutic rate and occurent rate of related factors RESULTS ： Among 96 patients, 60 patients had delayed therapy, and the delayed therapeutic rate was 62.5%. Influential factors of delayed therapy： Logistic regression analysis demonstrated that regression equation was involved in educational level, family history, attack style and economic status. Meanwhile, the standard regression coefficient was 0.332 1.0.210 1.0.190 3 and 0.101 2. CONCLUSION： Educational level, family history, attack style and economic status of patients with dementia praecox are risk factors of delayed therapy. It is of importance for strengthening these factors to interfere and reduce delayed therapeutic rate at an early phase.

关 键 词：精神分裂症 延误治疗 相关因素 

分 类 号：R749.3[医药卫生—神经病学与精神病学]