重性精神疾病患者肇事肇祸相关分析

Correlation analysis of troublemaking for severe mental illness patients

目的:了解重性精神疾病患者肇事肇祸情况,旨在为社区干预提供依据。方法:对751例城乡重性精神疾病患者肇事肇祸状况进行了调查分析。结果:重性精神病患者肇事肇祸(三级以上)发生率为9.05%,肇事肇祸发生率与患者的性别(x2=10.57,P<0.01)、文化程度(x2=10.88,P<0.01)、和监护人类型(x2=16.89,P<0.01)、疾病类型(x2=10.80,P<0.01)、病程(x2=11.39,P<0.01)及服药依从性(x2=19.81,P<0.01)呈显著相关,与患者的年龄(x2=0.80,P>0.05)、民族(x2=0.443,P>0.05)、婚姻状况(x2=1.99,P>0.05)无关。结论:肇事肇祸精神病患者以男性、文化程度较低、诊断为精神分裂症、病程较长、从未就医、服药依从性较差、监护人为患者的兄弟姐妹及其他人者居多。

Objective： To investigate troublemaking conditions for severe mental illness patients so as to provide a basis forcommunity intervention. Methods： The troublemaking conditions of 751 cases of urban and rural individuals with severe mental illnesswere analyzed. Results： The incidence rate of troublemaking （above level III） of the patients with severe mental illness was 9. 05%,and was significantly correlated with sex （x^2 =10. 57, P〈0. 01）, education level （x^2 =10. 88, P〈0. 01）, guardian type （x^2 =16. 89,P〈0. 01）, type of disease （x^2 =10. 80, P〈0. 01）, duration of disease （x^2 =11. 39, P〈0. 01） and drug compliance （x^2 =19. 81, P〈0. 01）, but not correlated with the patient＇s age （x^2 = 0. 80, P〉0. 05）, nationality （x^2 = 0. 443, P〉0. 05）, marital status （x^2 =1. 99, P〉0. 05）. Conclusions： The majority troublemaking mental patients are male with low educational level and are diagnosed asschizophrenia with a longer course. They never go to a doctor, medication compliance is poor, and the guardians are their brothers andsisters and other related people.