武汉市武昌区重性精神疾病患者现状及相关因素分析

Current status and related factors of patients with severe mental disorders in Wuchang District of Wuhan Ci ty

目的：了解武汉市武昌区重性精神疾病患者的现状与相关因素之间的关系，为社区有效管理提供依据。方法资料来源于国家重性精神疾病网络管理系统，对武昌区3358例重性精神疾病患者的相关数据进行描述性分析，对患者病程及疾病类型的影响因素进行 Logistic 回归分析。结果武昌区网络管理的重性精神疾病患者中单身者占59．38％，初中及以下文化程度者占60．18％，家庭经济状况贫困者占43．33％，无业或下岗者占60．76％。Logistic回归分析发现，经济状况（OR ＝0．896）、文化程度（OR ＝1．430）会影响病程；文化程度（OR ＝0．549）、经济状况（OR ＝1．212）、婚姻（OR ＝1．183）、职业（OR ＝1．215）会影响精神疾病类型。结论应将精神分裂症、精神发育迟滞（伴发精神障碍）作为管理重点，尤其是对未服药及依从性差的患者。

Objective To understand the relationship between the current status and the relevant factors of patients with severe mental disorder in Wuchang District ,Wuhan City and provide a basis for effective management in community .Methods The relevant data of 3 358 patients with severe mental disorders from the national network management system of severe mental disorders were under descrip‐tive analysis .The influence factors of type and duration of the diseases were analysed by Logistic regres‐sion .Results Among all the patients ,59 .38% were single ,60 .18% were educated at or below junior high school level ,43 .33% were from poor families ,60 .76% were unemployed or laid off .Logistic re‐gression analysis showed that the influence factors of the duration in patients with severe mental diseases included financial status （OR = 0 .896） and education （OR = 1 .430） .The impact factors of the type of diseases included education （OR = 0 .549） ,financial status （OR = 1 .212） ,marital status （OR = 1 .183） and occupation （OR = 1 .215） .Conclusions Schizophrenia and mental retardation （with mental disor‐ders） should be viewed as the key point of community health service management ,especially for patients with no medication and poor compliance .