精神分裂症患者入院72h攻击行为发生情况调查、危险因素及干预对策  

Investigation on the occurrence of aggressive behavior,risk factors,and intervention strategies in patients with schizophrenia in 72 hours of hospitalization

作　　者：刘涛 胡春水[1] Liu Tao;Hu Chunshui(Psychiatric Department,Shanghai Jiading District Mental Health Center,Shanghai 201806,China)

机构地区：[1]上海市嘉定区精神卫生中心,上海201806

出　　处：《首都食品与医药》2024年第12期38-41,共4页Capital Food Medicine

摘　　要：目的探讨精神分裂症(SCH)患者入院72h攻击行为发生情况、危险因素及干预对策。方法选取2020年1月-2023年1月上海市嘉定区精神卫生中心收治的SCH患者300例作为观察对象,统计患者入院72h攻击行为发生情况,并进行单因素分析与Logistic多因素回归分析。结果300例SCH患者中,入院72h共发生攻击行为257例(85.67%);攻击行为组阳性症状重、社会支持度低、童年创伤水平高、易激惹水平高、非自愿入院治疗、有既往攻击史、家庭人均月收入<3000元的患者占比与无攻击行为组相比更高(P<0.05);Logistic多因素分析结果显示,阳性症状重(OR=2.396)、社会支持度低(OR=1.443)、童年创伤水平高(OR=2.271)、易激惹水平高(OR=1.996)、非自愿入院治疗(OR=3.467)、有既往攻击史(OR=2.043)、家庭人均月收入<3000元(0R=1.776)是影响SCH患者入院72h攻击行为发生情况的独立危险因素(P<0.05)。结论SCH患者入院72h攻击行为发生率较高,阳性症状、社会支持度、童年创伤水平、易激惹水平、非自愿入院治疗、既往攻击史、家庭人均月收入均可作为其危险因素,需要重点干预。Objective To explore the incidence,risk factors,and intervention strategies of aggressive behavior in patients with SCH in 72 hours of hospitalization.Methods A total of 300 SCH patients who were admitted in our hospital from January 2020 to January 2023 were selected,and the incidence of aggressive behavior in 72 hours of hospitalization was analyzed,using univariate analysis and Logistic regression analysis.Results Among the 300 SCH patients,a total of 257(85.67%)had aggressive behavior in 72 hours of admission.In comparision of the non aggressive behavior group,the proportion of patients with severe positive symptoms,low social support,high levels of childhood trauma,high levels of irritability,involuntary admission for treatment,history of previous aggression,and per capita monthly income of less than 3000 yuan in the aggressive behavior group were higher(P<0.05).The results of logistic multivariate analysis showed that severe positive symptoms(OR=2.396),low social support(OR=1.443),high levels of childhood trauma(OR=2.271),high levels of irritability(OR=1.996),involuntary admission treatment(OR=3.467),history of previous aggression(OR=2.043),and per capita monthly income of less than 3000 yuan(OR=1.776)were independent risk factors affecting the occurrence of aggressive behavior in SCH patients in 72 hours of admission(P<0.05).Conclusion The incidence of aggressive behavior in SCH patients in 72 hours of hospitalization is relatively high,and positive symptoms,social support,childhood trauma level,irritability level,involuntary admission treatment,previous aggressive history,and per capita monthly income of the family can all be risk factors for SCH patients,which require targeted intervention.

关 键 词：精神分裂症 新入院 攻击行为 危险因素 干预对策 

分 类 号：R749.3[医药卫生—神经病学与精神病学]