精神分裂症患者6月内再入院影响因素分析  

Analysis of Influencing Factors of Schizophrenia Patients Readmission within 6 Months

作　　者：蔡清艳 刘曼 王钰[1] 王晓燕 武楠[1] 胡萱怡 丘雪 蒲丽[1] 贾小寒 Cai Qingyan;Liu Man;Wang Yu(Chengdu Fourth People’s Hospital,Chengdu,Sichuan 610036,China)

机构地区：[1]成都市第四人民医院,四川成都610036

出　　处：《四川医学》2020年第2期137-141,共5页Sichuan Medical Journal

基　　金：成都市卫生和计划生育委员会立项项目(编号:2015158)。

摘　　要：目的探讨精神分裂症患者出院后6月内再入院影响因素。方法采用前瞻性调查研究设计,连续纳入符合入组标准的454例出院精神分裂症患者,采用自编调查问卷、阳性与阴性症状量表(PANSS量表)、个人与社会功能量表(PSP量表)等分别于出院时及出院后对患者进行调查与随访。结果406例完成6个月随访研究,其中有55例再入院。再入院组与非再入院组比较分析显示,医嘱出院、疗效好、社会功能恢复好、依从性好均可减少再入院风险,而住院时间短及既往多次住院可增加再入院风险。结论医嘱出院、精神症状改善明显、社会功能恢复好、依从性好可以降低精神分裂症患者早期再入院风险。Objective To explore the readmission influencing factors of schizophrenia patients within 6 months after discharge.Method 454 patients with schizophrenia who met the admission criteria were continuously included in the prospective survey study design.A self-made questionnaire,positive and negative symptoms scale(PANSS scale),and personal and social function scale(PSP scale Table)were used to investigate and follow up patients at discharge and after discharge.Results A total of 406 patients had completed a 6-month follow-up study,of which 55 were re-admitted.A comparative analysis of the readmission and non-readmission groups showed that the risk of readmission could be reduced because of discharge from the doctor,good curative effect,good social function recovery and good compliance.While short hospital staying days and multiple previous hospitalizations would increase the risk of readmission.Conclusion Discharge of doctors,significant improvement in psychiatric symptoms,good recovery of social functions and good compliance could reduce the risk of early readmission to schizophrenia.

关 键 词：精神分裂症 再入院 影响因素 

分 类 号：R749.3[医药卫生—神经病学与精神病学]