非自愿住院精神分裂症患者知情权和选择权的分时分级应用研究

The exploratory about time-share and ranking for right to know the fact and selection of involuntary admission schizophrenic

目的探讨非自愿住院精神分裂症患者享受知情权和选择权的最佳时机及不同时间享受知情权和选择权的最佳程度。方法把患者享受知情权和选择权的时间分为入院时、入院1周、2周、3周和4周5个时间点(分时);再把享受知情权和选择权的程度分为不知情、部分知情、知情3级(分级);观察不同时间让患者享受相同程度知情权、选择权和同一时间让患者享受不同程度知情权和选择权,对患者病情的影响。结果患者在入院时、入院1周、2周时,让患者不知情、部分知情、知情,住院的合作率逐渐降低,PANSS、SI和MAOS分值逐渐升高,差异有显著性。结论前2周不易享受知情权和选择权,2周后可渐渐享受知情权和选择权。

Objective To explore the best junctures to enjoyment right to know the fact and selection and the best extents to enjoyment fight to know the fact and selection with different time for schizophrenic. Methods The time was divided into five piece time section （time - share） on admission, Ist week,2nd week, 3 th week and 4th week after hos- pitalization about enjoyment right to know the fact and selection of schizophrenic. The extents to enjoyment right to know the fact and selection of schizophrenic was divided for not to know the fact, mere - know the fact and know the fact （ranking）. The effects of different timeand ranking of enjoyment right to know the fact and selection on sererrly of patients were evaluate. Results The schizophrenic enjoyment right to know the fact and selection on admission, Ist week, 2nd week after hospitalization induce lower cooperation rate and higher scores of PANSS. SI and MAOS. Conclusion The patientb dont enjoy right to know the fact and selection on the 2nd week after hospitalization,and they could enjoy after two weeks.