慢性精神分裂症社会功能缺陷的相关因素分析

Factors affecting social disability of chronic schizophrenic patients

目的： 研究长期住院的慢性精神分裂症患者社会功能缺陷及相关因素。 方法： 采用住院精神分裂症社会功能缺陷筛选量表 （ＳＤＳＳ－Ⅰ）、简明精神病评定量表 （ＢＰＲＳ）、阳性症状评定量表（ＳＡＰＳ） 和阴性症状评定量表 （ＳＡＳＳ）， 对３８ 例连续住院精神分裂症患者进行评估。 结果： ３８例患者ＳＤＳＳ－Ⅰ的６ 个项目有缺陷，ＳＤＳＳ－Ⅰ评分与病期、住院时间、次数评分呈正相关，与假出院天数、参加工娱疗天数呈负相关。 结论： 开展文体活动、缩短住院时间、增加社会接触时间， 可减轻患者的社会功能缺陷。

Objective:To study the factors associated with social disability in chronic schizophrenic patients hospitalised for more than five years. Method:38 schizophrenic patients who had been continuously hospitalised for more than five years were evaluated with the SDSS Ⅰ,BPRS, SAPS and SANS. Results:38 schizophrenic patients showed disability in six items of the SDSS Ⅰ,the scores of which were positively correlated with the course of illness,duration and number of hospitalisation,and negatively correlated with the duration of home leave and training in work and recreational therapy. Conclusion:Engagement in work and recreational therapy,shortening of hospitalisation and increased contact with sociaty may minimise social disability in chronic schizophrenic patients.