老年精神分裂症患者社会功能现状及影响因素  

The social function status in elderly patients with schizophrenia and its influence factors

作　　者：路以荣 于现庆 虞君 LU Yirong;YU Xianqing;YU Jun(Liaocheng Fourth People's Hospital,Liaocheng 252000,China)

机构地区：[1]聊城市第四人民医院,聊城252000

出　　处：《国际精神病学杂志》2024年第6期1729-1732,共4页Journal Of International Psychiatry

摘　　要：目的 进行老年精神分裂症患者社会功能现状的横断面分析,并探讨其影响因素。方法 选择2021年11月~2023年1月105例老年精神分裂症患者,评价个人与社会功能量表,分析不同年龄、性别、学历等社会功能评分差异,多元逐步回归分析调查社会功能影响因素。结果 105例老年精神分裂症患者社会功能评分(59.19±7.26)分;不同社会支持、家庭收入、年龄、居住地、住院次数、合并抑郁、病程、学历的患者社会功能评分差异有统计学意义(P<0.05),不同婚姻、性别、精神病家族史社会功能评分差异无统计学意义(P>0.05);多元逐步回归分析表明,社会支持、家庭收入、居住地、住院次数、病程、合并抑郁是社会功能的影响因素(P>0.05)。结论 老年精神分裂症患者普遍存在社会功能缺陷,社会支持低、家庭收入低、居住农村等可能影响其社会功能。Objective The analyze the social function status in elderly patients with schizophrenia and its influence factors.Methods A total of 105 elderly patients with schizophrenia from November 2021 to January 2023 were selected,and the personal and Social Function Scale were evaluated.The differences in social function scores among different ages,genders,and educational backgrounds were analyzed.Multiple stepwise regression analysis to investigate the influencing factors of social function.Results 105 elderly patients with schizophrenia had a social function score of(59.19±7.26)points.There were statistically significant differences in social function scores among patients with different social support,family income,age,place of residence,number of hospitalizations,comorbid depression,disease course,and educational background(P<0.05).There was no statistically significant difference in social function scores among different marriages,genders,and family histories of mental illness(P>0.05).Multiple stepwise regression analysis showed that social support,family income,place of residence,number of hospitalizations,course of illness,and comorbid depression were the influencing factors of social function(P>0.05).Conclusion Elderly patients with schizophrenia generally have social dysfunction,which may be affected by low social support,low family income,and living in rural areas.

关 键 词：老年精神分裂症 社会功能 横断面分析 影响因素 

分 类 号：R749.3[医药卫生—神经病学与精神病学]