长期住院精神病人回归家庭困难的原因分析

Reasons for difficulties in returning home of psychotic inpatients with long-term hospitalization

目的探讨长期住院精神病人回归家庭困难的有关因素。方法对298例长期住院精神病人中有请假回家者235例(回归组)和无请假回家者63例(无回归组)的年龄、病程、住院时间、病情、社会功能、家庭成员因素、病人因素等进行比较分析。结果无请假回家者年龄大、病程长、住院时间长、病情重、社会功能差、家庭结构差、家庭拒绝接收、病人对出院后缺少打算,两组比较有统计学差异(P<0.05)。结论精神病人回归社会困难与家庭、病人等多方面因素有关,应充分发挥社会制度的优越性,调动家庭、社会各方面的积极性,关爱精神病人,不断提高长期住院病人回归家庭的比例。

Objective To investigate the related factors of difficulties in returning home for psychotic inpatients with long-term hospitalization. Method Cases with returning home were compared with those without returning home in ages, clinical course, length of stay, disease condition, social function, factors of patients and their family members. Results Patients who never returned home were older than those who ever returned home. They had a longer clinical course and more time of hospitalization than the latter. Their diseases were usually severe and the social function of them apparently impaired. Their family structures were incomplete, and it＇s hard for them to be accepted by other family member. Conclusion Factors such as patients and their families may lead to the difficulties in returning to society for psychotic inpatients.