社区精神分裂症患者自我管理现状及影响因素

Self management status and influencing factors of schizophrenia patients in community

目的 调查社区精神分裂症患者自我管理能力现状及影响因素。 方法 采用一般资料调查表、精神分裂症自我管理量表、生命质量及社会支持评定量表对江苏省镇江市精神卫生中心出院的122例社区精神分裂症患者进行分析调查。 结果 社区精神分裂症患者自我管理得分为（68.74 ± 10.24）分，多元逐步回归分析结果显示，是否长期服药（t=2.351，P〈0.05）、文化程度（t=2.385，P〈0.05）、是否接受社区康复指导（t=3.813，P〈0.01）、社会支持（t=2.768，P〈0.01）是社区精神分裂症患者自我管理能力的影响因素。 结论 医务人员应针对社区精神分裂症患者加强长期服药、接受社区康复指导及社会支持方面的改进，并加强对文化程度低的患者关注度，以提高自我管理能力。

Objective To investigate the present situation and analyze the influence factors of self-management ability of schizophrenic patients in community. Methods A total of 122 cases of schizophrenic patients in community that have been discharged from Zhenjiang Mental Health Center were investigated and analyzed by general information questionnaire, Schizophrenia Self-Management Ability Scale, quality of life and Social Support Rating Scale.Results The scores of self-management ability of schizophrenic patients in community were （68.74±10.24） points. Multiple stepwise regression analysis showed that long-term medication （t =2.351, P〈0.05）, degree of education（t =2.385, P〈0.05）, community rehabilitation guidance （t =3.813, P〈0.01） and social support （t=2.768, P〈0.01） were the influence factors of self-management ability of schizophrenic patients in community.Conclusions Schizophrenia patients in community medical staff should be aimed at strengthening the long-term medication in community rehabilitation guidance and social support, improvement, and strengthen the low degree of culture of patient care, to improve the ability of self-management.