摘要
目的:探讨严重精神障碍患者肇事肇祸的危险因素。方法:将864例严重精神障碍患者连续入组,分为肇事肇祸组(380例)和非肇事肇祸组(484例)。采用自制调查表、简明精神病评定量表(BPRS),阳性和阴性症状量表评分表(PANSS)和日常生活功能量表(ADL)对两组患者进行横断面调查,并运用Logistic回归方法对影响严重精神障碍患者肇事肇祸的因素进行分析。结果:两组患者在BPRS总分、敌对猜疑、激活性和思维障碍三个因子得分及PANSS总分上差异明显(P<0.05);在焦虑抑郁及缺乏活力两个因子得分及ADL总分上差异无统计学意义(P>0.05)。性别(RR=19.2)、自知力(RR=3.7)、疾病严重程度(RR=2.1)是严重精神障碍患者肇事肇祸的相对危险因素。结论:严重精神障碍患者肇事肇祸发生率高,应加强对严重精神障碍患者的救治。
Objective: To explore risk factors of troublemaking of patients with severe mental disorders. Methods: A total of 864 consecutive patients with severe mental disorders were included and divided into troublemaking group ( n = 380) and non- trouble-making group ( n = 484 ). They were cross - sectionally studied with a self - made questionnaire, brief psychiatric reacting scale ( BPRS) , positive and negative syndrome scale ( PANSS) and activity of daily living scale ( ADL). Logistic regression method was used to explore the risk factors of troublemaking. Results : There were significant differences in the PANSS and BPRS total scores and the factor scores of hostile suspicion, activation, thought disturbance (P 〈0.05) ; however, there were no significant differences in the factor scores of anxiety-depression and lack of vitality, and ADL total score ( P 〉0. 05). Gender ( RR = 19. 2) , insight ( RR = 3.7), and disease severity (RR = 2. 1) were the relative risk factors for the psychiatric patients' troublemaking. Conclusions : The trouble-making rate of the patients with severe mental disorders is very high, and it should strengthen the treatment to them.
作者
谭小华
TAN Xiaohua(Mental Hospital of Fengdu County, Dufeng Chongqing 408200, Chin)
出处
《中国民康医学》
2017年第7期55-56,68,共3页
Medical Journal of Chinese People’s Health
关键词
严重精神障碍
肇事肇祸
危险因素
Severe mental disorders
Troublemaking
Risk factor