重性精神疾病患者肇事肇祸的预防与管理  

Prevention and management of accidentsfor patients with severe mental illness

作　　者：李艳杰 LI Yanjie(Yangjiang Public Health Hospital,Guangdong,Yangjiang 529500,China)

机构地区：[1]广东省阳江市公共卫生医院,广东阳江529500

出　　处：《中国医药科学》2021年第1期94-97,共4页China Medicine And Pharmacy

基　　金：广东省阳江市卫生和计划生育局科技计划项目(阳卫计2018017)。

摘　　要：目的调查分析重性精神疾病患者肇事肇祸的现状及其影响因素,旨在提出具体的管理与预防对策。方法随机选取2013年1月至2020年1月广东省阳江市公共卫生医院精神科收治的1400例重性精神疾病患者为研究对象,调查其肇事肇祸现状,并分析肇事肇祸发生的影响因素。结果在1400例重性精神疾病患者中,肇事肇祸发生1243例(88.79%),无肇事肇祸发生157例(11.21%),其中不同性别、年龄、文化程度、服药依从性、疾病诊断类型患者肇事肇祸发生率比较,差异有统计学意义(P<0.05),而不同婚姻状况患者的肇事肇祸发生率比较,差异无统计学意义(P>0.05)。据二元Logistic回归分析得出,男性、精神分裂症、分裂情感障碍疾病是肇事肇祸发生的独立危险因素,癫痫所致精神障碍、年龄18~39岁、服药依从性好是预防肇事肇祸的保护因素(P<0.05)。结论在重性精神疾病患者中肇事肇祸的发生率较高,肇事肇祸发生的独立影响因素为男性、年龄18~39岁、精神分裂症、癫痫所致精神障碍、分裂情感障碍疾病及服药依从性,临床上需采取合理的预防措施和管理手段,以减少肇事肇祸的发生。Objective To investigate and analyze the status quo and impacting factors of accidents caused by patients with severe mental illness,and to provide specific management and preventive measures.Methods A total of 1400 patients with severe mental illness admitted to the department of psychiatry of Yangjiang Public Health Hospital in Guangdong Province from January 2013 to January 2020 were randomly selected as the objects,the status quo of accidents was investigated,and the impacting factors of accidents were analyzed.Results Among 1400 patients with severe mental illness,1243 cases(88.79%)had accidents and 157 cases(11.21%)had no accident.There were differences in the probability of accidents among patients with different genders,different ages,different education levels,different medication compliances and different diseases(P<0.05).However,there was no significant difference in the incidence of accidents among patients with different marital status(P>0.05).According to binary Logistic regression analysis,male,schizophrenia and schizophrenic affective disorder were the independent risk factors of accidents.Meanwhile,mental disorders caused by epilepsy,aged of 18-39 years old and good medication compliance were the protective factors for preventing accidents(P<0.05).Conclusion There is a high probability of accidents among patients with severe mental illness.The independent impacting factors of accidents includemale,age of 18-39 years old,schizophrenia,epilepsy induced mental disorder,schizophrenic affective disorder and medication compliance.Reasonable preventive measures and management methods should be taken clinically to reduce the occurrence of accidents.

关 键 词：重性精神疾病 肇事肇祸 预防 管理 

分 类 号：R135[医药卫生—劳动卫生]