213例复发再入院精神分裂症患者院外维持治疗现况及影响因素  

Conditions of maintenance treatment outside the hospital and the influence factors to 213 schizophrenic patients that having a relapse

作　　者：李洪毅[1] 罗明[1] 熊辉[1] 

机构地区：[1]四川省攀枝花市第三人民医院,四川攀枝花617061

出　　处：《中国民康医学》2008年第15期1720-1722,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:调查复发再入院精神分裂症患者院外维持治疗现况及影响因素。方法:选取我院复发再入院精神分裂症患者213例,在患者入院时,通过与知情者的面谈完成调查资料。结果:213例调查对象按上次出院后距本次入院时间长短分为3个月、12个月及36个月3组,在出院后的相同时间内(月末),其维持治疗剂量不同,3月组<12月组<36个月组,部分月份剂量差异有显著性;3组患者在既往复发次数上:3月组>12月组>36个月组,经LSD-t检验,差异有显著性意义;其中36个月组上次出院时自知力和疗效最好,而3个月组则最差。进一步调查不遵从医嘱减、停药的6种原因,其中家属对维持治疗重要性认识差达113例(32.8%),自知力差94例(27.3%)。结论:①精神分裂症患者维持治疗对减缓复发有重要意义,维持治疗状况与出院时自知力,出院时疗效成正相关,与复发次数成负相关。②在院外维持治疗不良的病例中,以家人对维持治疗重要性认识不够和患者自知力差为最主要因素。Objective：To investigate the conditions of maintenance treatment outside the hospital and influence factors to the schizophrenic patients having a relapse. Methods：213 schizophrenic patients, which had had a relapse and hospitalized again in our hospital. Investigators talked with the witnesses to obtain the data as soon as the patients hospitalized again. Results： 213 cases of survey, on the base of times from the last discharge from hospital to coming back again, were divided into three sets ： the 3 months group, 12 months group and 36 months group. In three groups at the same time after discharge from hospital, the doses of maintenance treat-ment were different： 3 months group 〈 12 months group 〈 36 months group, some doses in a significant difference among the three groups. On the frequency of relapsing： 3 months Group 〉 12 months Group 〉 36 months Group, with the LSD-t test, there were sig-nificant differences. What＇s more, we investigated the most factors that the patients gave up using the medicine, including 113 cases （32.8%） whose families didnt not aware the importance of maintenance treatment, 94 cases （27.3%） were poor insight. Conclusions：①Maintenance treatment is vital to reduce the relapse for schizophrenic patients . The conditions of maintenance treatment are positive related with a good insight and a good curative effect when the patients were discharged from hospital, while it is negative correlated with the frequency of relapsing.② In the cases with a adverse maintenance treatment, the most factors are the patients＇families were not awareness of the importance of maintenance treatment and the patients＇ poor insight.

关 键 词：精神分裂症 维持治疗 现况调查 

分 类 号：R749.3[医药卫生—神经病学与精神病学]