河北省严重精神障碍患者肇事肇祸现状及其影响因素调查研究  

Status and influencing factors of troublemaking in patients with severe mental disorders in Hebei Province

作　　者：孟祥飞 李会 许小梅 安红伟 MENG Xiangfei;LI Hui;XU Xiaomei;AN Hongwei(Hebei Third Rongjun Preferential Care Hospital,Baoding,Hebei 071000,China)

机构地区：[1]河北省第三荣军优抚医院,河北保定071000

出　　处：《华南预防医学》2024年第9期819-823,共5页South China Journal of Preventive Medicine

基　　金：河北省重点研发计划项目(18277795D)。

摘　　要：目的探讨河北省严重精神障碍患者肇事肇祸现状并分析影响因素,为严重精神障碍患者的管理提供参考依据。方法采用方便抽样方法抽取2022年6月至2023年6月登记录入国家严重精神障碍管理信息系统的河北省严重精神障碍患者作为研究对象,依据是否发生肇事肇祸行为分为发生组、未发生组。收集患者一般资料,采用社会支持评定量表(SSRS)、修改版外显攻击行为量表(MOAS)、简易精神状况检查量表(MMSE)评估患者社会支持度和病情严重程度,分析其肇事肇祸行为发生现状,进行肇事肇祸行为影响因素的单因素分析,采用多因素logistic回归分析进行影响因素分析。结果河北省严重精神障碍患者肇事肇祸行为发生率为12.87%(69/536)。2组性别、年龄、服药时长、近3年就诊次数、父母犯罪记录、知晓社会救助政策、SSRS评分、MOAS评分、MMSE评分比较差异有统计学意义(均P<0.01)。多因素logistic回归分析显示,性别(OR=0.421)、服药时长(OR=0.513)、知晓社会救助政策(OR=0.317)、SSRS评分(OR=0.536)、MMSE评分(OR=0.584)是严重精神障碍患者肇事肇祸行为的保护因素(均P<0.05),MOAS评分(OR=3.651)是严重精神障碍患者肇事肇祸行为的危险因素(P<0.05)。结论河北省严重精神障碍患者有一定肇事肇祸风险,主要影响因素为性别、服药时长、知晓社会救助政策等,应加强对该类患者的治疗和管理,以期减少肇事肇祸行为发生。Objective To explore the status and influencing factors of troublemaking in patients with severe mental disorders in Hebei Province,to provide the reference for the management of patients with severe mental disorders.Methods A convenience sampling method was used to select patients with severe mental disorders in Hebei Province who were registered and entered into the National Severe Mental Disorders Management Information System from June 2022 to June 2023.These patients were divided into two groups based on whether they had troublemaking behaviors:the occurrence group and the non-occurrence group.General data of patients were collected,and Social Support Rating Scale(SSRS),modified Explicit Aggressive Behavior Scale(MOAS),and mini-Mental State Examination(MMSE)were used to evaluate the social support degree and severity of patients'disease.The occurrence status of troublemaking behaviors was investigated,and univariate and multivariate logistic regression were used for influencing factors analyses.Results The incidence rate of troublemaking behaviors in patients with severe mental disorders was 12.87%(69/536).There were significant differences between the two groups in gender,age,duration of medication,number of visits in recent three years,parental criminal record,awareness of social assistance policies,SSRS score,MOAS score,and MMSE score(all P<0.01).Multivariate logistic regression analysis showed that gender(OR=0.421),duration of medication(OR=0.513),awareness of social assistance policies(OR=0.317),SSRS score(OR=0.536),and MMSE score(OR=0.584)were protective factors for troublemaking behaviors in patients with severe mental disorders(all P<0.05),while MOAS score(OR=3.651)was a risk factor(P<0.05).Conclusions Patients with severe mental disorders in Hebei Province have a certain risk of troublemaking,mainly influenced by factors such as gender,duration of medication,and awareness of social assistance policies.It is necessary to strengthen the treatment and management of such patients to reduce the occurrenc

关 键 词：严重精神障碍 肇事肇祸 影响因素 

分 类 号：R749[医药卫生—神经病学与精神病学]