兰州市重型精神疾病患者肇事肇祸影响因素分析

Analysis of factors of troubles caused by serious psychiatric patients in Lanzhou

目的 为了解重型精神疾病患者肇事肇祸相关因素,为政府制定社区干预措施提供科学依据.方法 对兰州市965例重型精神疾病患者肇事肇祸状况进行了调查,运用SPSS16.0对重型精神疾病患者肇事肇祸相关因素进行分析.结果 兰州市重型精神疾病患者肇事肇祸发生率为13.6%,肇事肇祸发生率与患者的文化程度（χ2=42.27,P〈0.001）、离异婚姻状况（χ2=334.3,P〈0.001）、疾病类型为精神分裂症（χ2=42.67,P〈0.001）、亚急性起病形式（χ2=47.93,P〈0.001）、连续病程（χ2=53.95,P〈0.001）和未/间断服药（χ2=354.35,P〈0.001）呈显著相关;而与经济状况（χ2=3.07,P=0.08）无关.结论 我市重型精神疾病肇事肇祸患者中以离异、精神分裂症、亚急性起病、连续病程≥1年、未/间断服药人数居多.肇事肇祸的发生是多种因素综合作用结果.

Objective In order to understar/d relevant factors of troubles caused by serious psychiatric patients, a basis for community interfere measures drew up by government is provided. Methods Lanzhou 965 cases with severe mental illness troublemaking status were investigated for use in serious psychiatric patients SPSS16. 0 troublemaking related factors were analyzed. Results Lanzhou serious psychiatric patients troublemaking incidence of 13.6%, the incidence of troublemaking and education level （χ2= 42.27, P〈0. 001） of patients, divorced marital status （χ2=334.3, P 〈 0.001 ）, disease type schizophrenia （χ2 = 42.67, P 〈 0.001 ）, subacute form （χ2 = 47.93, P〈 0. 001 ）, continuous duration （ χ2 = 53.95, P 〈 0. 001 ） and non / intermittent medication （ χ2 = 354.35, P〈0. 001） were significantly correlated; while the economic situation （ χ2 = 3.07, P = 0.08） irrelevant. Gonclusions City troublemaking serious psychiatric patients to divorce,schizophrenia,subacute onset,duration 1 consecutive years, no / intermittent medication number of majority. Troublemaking occurrence is the result of many factors.