精神分裂症患者社会功能与复发关系的研究

Study on Relation between Social Function and Relapse of Schizophrenic Patients

目的探讨在非干预条件下精神分裂症患者出院后3年的复发率以及社会功能,分析精神分裂症复发的影响因素。方法回顾性分析我院2011年9月至2012年8月"痊愈"出院的420例精神分裂症患者的临床资料。结果 420例出院患者中,3年复发率为58.1%,第1、 2、 3年的工作/学习、人际交往、自我照料均保持良好的患者分别占55.4%、 60.6%、 66.4%。Logistic回归分析显示,良好的工作/学习、人际交往是复发的保护因素(OR分别为2.611～5.714, 2.653～3.413; P <0.05)。结论精神分裂症患者出院后的社会功能较差,坚持工作/学习、维持人际交往有利于减少病情的复发。

Objective To explore the relapse rate and social function of schizophrenic patients 3 years after discharge under non-interventional conditions, and to analyze the influencing factors of schizophrenic relapse. Methods The clinical data of 420 cases of schizophrenic patients discharged from our hospital from September 2011 to August 2012 were retrospectively analyzed. Results Among420 cases of discharged patients, the 3-year relapse rate was 58.1%. The rates of maintaining good work or study, interpersonal communication and self care at the first, second and third year accounted for 55.4%, 60.6% and 66.4%. Logistic linear regression analysis showed that the good work or study and interpersonal communication were the protective factors for relapse(OR=2.611 ~ 5.714, 2.653 ~3.413;P<0.05). Conclusions Schizophrenic patients have poor social function. Remaining work or study and interpersonal communication helps to reduce the relapse.