首次住院精神分裂症患者自动出院原因调查分析

Investigation on the reasons for against-advice discharge in the first hospitalized patients with schizophrenia

目的了解我院首次住院精神分裂症患者自动出院的原因。方法根据文献资料设计相关因素的调查表,对首次住院精神分裂症患者自动出院原因进行调查,与非自动出院患者进行比较。结果与非自动出院患者相比,精神分裂症患者亚急性病程、患者及家属的文化程度偏低差异有统计学意义(P﹤0.01),而患者的性别、经济状况以及居住地方三个因素差异均无统计学意义(P均﹥0.05)。结论与亚急性病程入院的精神分裂症患者及家属建立良好的医患关系,加强精神卫生知识的沟通,是减少自动出院和提高治疗依从性的有效措施。

Objective To study the against-advice discharge reasons of in the first hospitalized patients with schizo- phrenia. Methods Questionnaires designed based on literature were applied to investigate the against-advice discharge rea- sons of schizophrenic inpatients. The results were compared with that of the patients with advice discharge. Results Com- pared with patients of advice discharge, the patients of against-advice discharge showed statistically significant difference in subacute course, low education degree of patients and their families （P〈0.01）, but not in gender, economic status and place of residence （P〉0.05）. Conclusion To establish a good doctor-patient relationship and enhance mental health knowledge com- munication is an effective measure to reduce against-advice discharge and improve the treatment compliance.