精神分裂症患者精神残疾的影响因素

An investigation of mental disability in schizophrenia and its risk factors related

目的评定精神分裂症患者的精神残疾现状,并探讨其危险因素。方法采用分层整群抽样的方法,对检出的精神分裂症患者进行社会功能缺陷筛选量表(SDSS)、阴性症状量表(SANS)的评定及有关危险因素的收集。利用多项有序反应变量的逐步Logistic回归对精神残疾的影响因素进行分析。结果与精神残疾程度呈负相关的因素有月收入、精神状况、家庭气氛、照顾情况,OR值分别为1.499,3.105,2.499和4.693;病程范围、SANS评分与精神残疾的程度呈正相关,OR值分别为0.469和0.946。结论应重视精神残疾有关的危险因素,采取全面的防治措施。

Objective To evaluate the mental disability and its risk factors related of schizophrenic patients in shaoxing county, Zhengjiang province. Methods All of schizophrenic patients out of epidemiological investigation were assessed with SDSS, SANS, and the related factors were selected. A multi-ordinal-categories Logistic regression model was used to analysis the risk factors for mental disability in schizophrenia. Results The metal disability was negative correlation with family economy, present spiritual condition, family atmosphere, situation of caring. While it was positive correlation with course of disease, SANS marks. The ORs were 1. 499, 3. 105, 2. 499, 4. 693, 0. 469 and 0. 946 respectively. Conclusion More attention should be paid to the factors causing mental disability in schizophrenia and wider measures of prevention and treatment should be taken.