被关锁精神分裂症患者人口学特征及救治前后的生存质量

A Comparative Study of the Demographic Characteristics and Life Quality before and after Treatment for the Lock Patients with Schizophrenia

目的了解被关锁农村精神分裂症患者人口学特征及解锁前后患者的生存质量。方法采用解锁患者信息采集表及世界卫生组织生存质量测定量表简表(WHOQOL-BREF)调查2006年11月—2012年3月河北省开展的"解锁救治"专项工作解救的84例农村精神分裂症患者,并比较解锁前后患者的生存质量。结果解锁患者多为男性(88.1%),男女比例为7.4:1,文化程度低,病程较长(平均15.79年),婚姻以未婚及离异为主(86.9%),主要依靠父母供养(72.6%),33.3%的患者有精神病家族史,付款方式合作医疗76例(90.5%),自费8例(9.5%)。目前有23.8%的患者被再次关锁。完成WHOQOLBREF量表评定的患者,解锁前后在生理领域、心理领域、社会关系领域、环境领域、总的健康状况、总的生存质量方面,t分别为-7.14、-6.86、-5.23、-5.54、-6.45及-8.00,差异均有统计学意义(P<0.001)。结论解锁治疗能够改善患者的生存质量,需要整个社会的参与,以提高患者的社会支持状况。

Objective To investigate the demographic characteristics of the lock patients with schizophrenia and their life quality be- fore and after being locked in rural place. Methods With the Unlock Patient Information Collection Form and WHOQOL - BREF scale, 84 rural patients with schizophrenia who were helped by the special ＂Unlock Project＂ launched by the Mental Healthy Center of Hebei province from November 2006 to March 2012 were investigated, and their quality of life pre -and post-unlock treatment was compared. Results Male unlock patients accounted the most （88.1% ）. The Sex ratio of male and female was 7.4 ： I. Some of the patients had lower education,longer illness （mean 15.79 years ）. Some were unmarried or divorced （86.9%）. Some mainly depended on their parents （72.6%） and had family history of psychosis （33.3 % ）. 76 cases （90.5 % ）paid by the payment of cooperative medical treatment, and 8 cases（9.5% ） at its own expense. There were currently 23.8% of the patients continuing lock. For the patients who completed the WHO- QOL - BREF rating scale, before and after unlock, the result of statistics analysis of their physiology, psychology, social relations, environ- ment, and the general health status, and life quality weret = -7.14,-6. 86,-5.23,-5.54,-6.45 and-8.00 （P 〈 0. 001 ）. Conclusion The unlock therapy can improve patients＇quality of life. The social attention for improving patients＇social support condition is of important sig- nificance.