202例精神分裂症患者精神残疾状况分析  

Mental Disability of 202 Patients with Schizophrenia.

作　　者：韩建生[1] 成玉敏[1] 张香云[1] 

机构地区：[1]中国.河北省第六人民医院,保定市071000

出　　处：《中国健康心理学杂志》2011年第8期923-924,共2页China Journal of Health Psychology

摘　　要：目的探讨精神分裂症患者精神残疾的现状及相关因素。方法采用世界卫生组织残疾评定量表第二版(WHO-DA SⅡ)为评定工具,由2名5年精神科工作经历的主治医师以上医生对202例精神分裂症患者进行精神残疾程度评定。结果精神分裂症患者精神残疾以三、四级为主,占79.7%。WHO-DA SⅡ得分与精神分裂症患者年龄(r=0.24,P<0.01)、病程(r=0.33,P<0.01)呈正相关,与住院次数无明显相关。使用抗精神病药物治疗的WHO-DA SⅡ得分低于未使用者,两者之间差异有统计学意义(P<0.01)。男女之间、城镇与农村之间、不同职业、不同学历、不同婚姻状况的精神分裂症患者WHO-DA SⅡ得分均无统计学意义(P>0.05)。结论提高精神分裂症患者的治疗率和缓解率,有利于减少和延缓精神残疾的发生。Objective To explore the present condition and related factor of mental disability of 202 patients with schizophrenia.Methods WHO Disability Assessment Scale Ⅱ was used by physician-in-charge certificated for five years.A total of 202 patients with schizophrenia were assessed mental disabilitys.Results The main grade of mental disability of 202 patients with schizophrenia was three or four.The rate of mental disability was 79.7%.The age（r=0.24,P〈0.01） and the course of illness（r=0.33,P〈0.01） were positively correlation to the scores of WHODASⅡ.The hospitalization number was no correlation to the scores of WHO-DASⅡ.The scores of WHO-DASⅡ in patients who used antipsychotics were lower than the ones in patients who did not use antipsychotics（P〈0.01）.There was no significant difference in scores of WHO-DASⅡ among male or female,urban or vilige,different educational background,occupation,and marital status（P〈0.05）.Conclusion It is advantageous to decrease and defer mental disability to improve the rates of treatment and remission.

关 键 词：精神分裂症 精神残疾 世界卫生组织残疾评定量表 相关因素 

分 类 号：R749.3[医药卫生—神经病学与精神病学]