不同文化程度严重精神障碍患者病情控制情况比较分析

Comparative analysis of disease control in patients with severe mental disorder in different educational level

目的比较不同文化程度严重精神障碍患者的病情控制情况。方法 2016年9~12月,选取我市在国家严重精神障碍管理系统中有随访服务信息登记的严重精神障碍患者作为研究对象,按高中/技校/中专及以上、初中、小学及以下文化程度,分为高中组、初中组、小学组三组,每组调查人数300名,共计900名。比较三组患者的病情控制情况。结果初中组患者的认知度明显高于小学组;高中组患者的认知度明显高于初中组及小学组,差异有统计学意义(P<0.05)。初中组患者的病情控制率(50.0%)明显高于小学组(36.7%);高中组患者的病情控制率(66.7%)明显高于初中组(50.0%)及小学组(36.7%),差异有统计学意义(P<0.05)。初中组患者的行为障碍发生率明显低于小学组,高中组患者的行为障碍发生率明显低于初中组及小学组,差异有统计学意义(P<0.05)。结论不同文化程度严重精神障碍患者的病情控制情况各不相同,文化程度较高的患者病情控制情况比较好,文化程度较低的患者病情控制情况较差,针对文化程度不同的精神障碍患者应采取不同的健康宣教,以提高精神障碍患者的病情控制率。

Objective To compare the disease control in patients with severe mental disorder in different educational levels.Methods From September to December in 2016,patients with severe mental disorders who were in follow-up service information registration in the National Severe Mental Disorder Management System were selected as objects.According to different educational levels including high school,technicalschool,and technical secondary school and superior ones,junior high school,and primary school and inferior ones,they were divided into high school group,junior high school group,and primary group,and there were 300 patients in each group.The disease control among the three groups was compared.Results The awareness of the patients in the junior high school group was significantly higher than that in the primary school group,but lower than that in the high school group with statistical difference （P〈0.O5）.The control rate of disease in the junior high school group was 50.0%,and it was significantly higher than that of the primary school group （36.7%）;the control rate of disease in the high school group was 66.7%,and it was significantly higher than that of the junior high school group （50.0%） and primary school group （36.7%） with statistical difference （P〈0.05）.The incidence of behavior disorders in the junior high school was lower than that in the primary school group,and the incidence of behavior disorders in the high school group was the lowest with statistical difference （P〈0.05）.Conclusion The disease control in patients with severe mental disorders is different based on different educational level.Patients with higher educational levels,the disease control is better,viceversa.The corresponding health education is necessary targeting on severe mental disorders patients in different educational level in order to improve the disease control rate.