湖州市精神分裂症患者攻击行为影响因素及预测管理  

Influencing factors and predictive management of the aggressive behavior of schizophrenic patients in Huzhou

作　　者：苏伟[1] 孙菊水[1] 李建华[1] 王轶虎[1] 薛亮 任丽华[1] SU Wei;SUN Ju-shui;LI Jian-hua;WANG Yi-hu;XUE Liang;REN Li-hua(Third People's Hospital of Huzhou ,Huzhou,Zhejiang313000,China)

机构地区：[1]湖州市第三人民医院

出　　处：《中国公共卫生管理》2018年第6期824-826,共3页Chinese Journal of Public Health Management

基　　金：湖州市科学技术局公益性技术应用研究(一般)(2015GY20)

摘　　要：目的探讨精神分裂症患者攻击行为的影响因素及预测管理。方法选取2016年1月-2017年2月新入院急性期精神分裂症患者,按外显攻击行为量表修订版(MOAS)加权分≥4分为攻击组和对照组(无攻击组)。采用一般情况调查表、临床总体印象-严重程度量表(CGI-S)、活动评定量表(BARS)、阳性和阴性症状量表兴奋因子(PANSS-EC)评估,并进行统计分析。结果攻击组在年龄≤30岁、住院≥3次、住院前1个月攻击史、非自愿住院与对照组比较差异有统计学意义(P<0.05)。攻击组的各量表评分与对照组比较差异有统计学意义(P<0.01)。住院前1个月攻击史(OR=7.752),非自愿住院(OR=3.482),高BARS评分(OR=2.580),高CGI-S评分(OR=2.013),高PANSS-EC评分(OR=1.341)是精神分裂症患者攻击行为的危险因素。结论住院前1个月攻击史、非自愿住院的精神分裂症患者易出现攻击行为;可以应用BARS、CGI-S、PANSS-EC等量表进行攻击行为预测及动态管理。Objective To explore the influencing factors and predictive management of the aggressive behavior of schizophrenic patients.Methods According to the Modified Overt Aggression Scale (MOAS),patients with schizophrenia who were newly hospitalised from January 2016 to February 2017 were divided into the aggressive group and the control group. The Clinical General Impression Severity Scale (CGI-S),Activity Rating Scale (BARS)and Positive and Negative Symptom Scale (PANSS-EC)were used to assess the two groups.The results were statistically analyzed.Results It found that the related factors of age less than 30 years,hospitalization more than 3times,history of aggressive behavior before hospitalization in a month and involuntary hospitalization in the aggressive group were significantly higher than the control group (P<0.05).The difference between the attack group and control group was statistically significant(P<0.01).The related factors of aggressive behavior were history of aggressive behavior before hospitalization in a month (OR =7.752),involuntary hospitalization (OR=3.482),higher BARS score(OR=2.580),higher CGI-S score(OR =2.013)and higher PANSS-EC score (OR =1.341).Conduction The occurrence of aggressive behavior before hospitalization in a month in the new hospitalized schizophrenic patients is mainly related to the history of previous aggressive behavior before hospitalization in a month and involuntary hospitalization.It can be predicted by BARS,CGI-S,and PANSS-EC,and then predictive managed.

关 键 词：精神分裂症 攻击行为 影响因素 

分 类 号：R749.3[医药卫生—神经病学与精神病学]