无主流浪精神分裂症患者社会支持及社会功能现状分析  

Status quo of social support and social function in homeless schizophrenics

作　　者：陶平宇 邱龄山[2] 孔亚芳[3] 袁素丽 Tao Pingyu;Qiu Lingshan;Kong Yafang;Yuan Suli(Third Department of Geriatrics,Hangzhou Seventh People's Hospital,Hangzhou 310013,Zhejiang Province,China;Second Department of Geriatrics,Hangzhou Seventh People's Hospital,Hangzhou 310013,Zhejiang Province,China;Department of Psychiatrics,Hangzhou Seventh People's Hospital,Hangzhou 310013,Zhejiang Province,China)

机构地区：[1]杭州市第七人民医院老年三科,杭州310013 [2]杭州市第七人民医院老年二科,杭州310013 [3]杭州市第七人民医院精神科,杭州310013

出　　处：《中国基层医药》2022年第8期1189-1193,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省杭州市卫生科技计划项目(OO20190506)。

摘　　要：目的探讨无主流浪精神分裂症患者社会支持及社会功能现状。方法选取杭州市第七人民医院2018年1月至2019年12月收治的468例精神分裂症患者作为研究对象,根据是否存在流浪行为将所有患者分为无主流浪组(n=310)和非流浪组(n=158)。采取自制入院患者基本情况调查表、社会支持量表(SSRS)和简明精神病量表(BPRS)对所有患者基本情况、社会支持水平、病情程度进行调查研究分析。结果无主流浪组患者中男性、农村户口、非本地居民、无职业、未婚及教育程度不高、年龄30~50岁人数显著高于非流浪组(χ^(2)=3.58、20.14、18.69、46.29、33.16、24.38、29.75,均P < 0.05);与非流浪组相比,无主流浪组患者的SSRS各项评分及总分均明显偏低[(15.35±5.42)分、(4.34±2.78)分、(6.48±1.89)分、(26.23±7.35)分;(18.99±3.78)分、(6.35±3.23)分、(7.82±2.01)分、(32.59±7.02)分,t=6.34、10.52、12.83、14.68,均P < 0.001];BPRS各项因子评分及总评分总明显偏高[(19.35±5.85)分、(22.58±2.73)分、(18.74±2.46)分、(18.48±0.25)分、(16.38±3.12)分、(79.43±3.64)分;(12.92±4.23)分、(16.24±3.66)分、(16.97±3.77)分、(10.58±3.34)分、(6.36±4.23)分、(62.72±2.57)分,t=9.92、7.02、6.33、10.35、15.74、28.46,均P < 0.001]。结论精神分裂症患者其不良个体情况和低社会支持水平是造成无主流浪的重要因素。Objective To investigate status quo of social support and social function in homeless schizophrenics.Methods A total of 468 schizophrenics who received treatment in Hangzhou Seventh People's Hospital from January 2018 to December 2019 were included in this study.They were divided into homeless group(n=310)and non-homeless group(n=158)according to whether they had homeless behaviors.The basic information of admitted patients,level of social support and disease severity were surveyed among admitted patients using self-made questionnaire regarding basic information of admitted patients,Social Support Rating Scale,and Brief Psychiatric Rating Scale.Results The numbers of schizophrenics in the aspects including male gender,rural household registration,non-local residents,no occupation,unmarried status,low level education,and age at 30-50 years in the homeless group were significantly higher than those in the non-homeless group(χ^(2)=3.58,20.14,18.69,46.29,33.16,24.38,29.75,all P<0.05).The score for each SSRS domain and total score in the homeless group were significantly lower than those in the non-homeless group[(15.35±5.42)points,(4.34±2.78)points,(6.48±1.89)points,(26.23±7.35)points;(18.99±3.78)points,(6.35±3.23)points,(7.82±2.01)points,(32.59±7.02)points,t=6.34,10.52,12.83,14.68,all P<0.001].The score for each BPRS domain and total score in the homeless group were significantly higher than those in the non-homeless group[(19.35±5.85)points,(22.58±2.73)points,(18.74±2.46)points,(18.48±0.25)points,(16.38±3.12)points,(79.43±3.64)points;(12.92±4.23)points,(16.24±3.66)points,(16.97±3.77)points,(10.58±3.34)points,(6.36±4.23)points,(62.72±2.57)points,t=9.92,7.02,6.33,10.35,15.74,28.46,all P<0.001].Conclusion The poor individual condition and low level of social support in patients with schizophrenia are important factors that cause homelessness.

关 键 词：无家可归者 精神分裂症 社会支持 精神病状态评定量表 心理疗法 

分 类 号：R749.3[医药卫生—神经病学与精神病学]