不同居住方式对精神疾病患者的影响分析

Influence of Different Living Styles on Patients with Mental Illness

目的:探讨不同居住方式对精神疾病患者的影响。方法:选取2019年4-10月于本院住院治疗的126例精神疾病患者,出院时采集所有患者的一般情况调查表,根据其出院后居住方式不同分为独居组、夫妻同居组和与父母同居组,每组42例。比较三组出院后健康调查简表(SF-36)、社会功能缺陷筛选量表(SDSS)以及用药与复发情况。结果:独居组、夫妻同居组和与父母同居组患者用药完全依从率分别为42.86%、71.43%和76.19%。三组用药完全依从率比较,差异有统计学意义(P<0.05)。夫妻同居组和与父母同居组的用药完全依从率均高于独居组,差异均有统计学意义(P<0.05)。独居组、夫妻同居组和与父母同居组患者疾病复发率分别为28.57%、11.90%和9.52%。三组复发率比较,差异有统计学意义(P<0.05)。夫妻同居组和与父母同居组的复发率均低于独居组,差异均有统计学意义(P<0.05)。出院后6、12个月,三组SDSS评分比较,差异均有统计学意义(P<0.05)。出院后6、12个月,夫妻同居组和与父母同居组SDSS评分均低于独居组,差异均有统计学意义(P<0.05)。出院后6、12个月,夫妻同居组和与父母同居组SDSS评分比较,差异均无统计学意义(P>0.05)。出院后12个月,独居组SDSS评分高于出院后6个月,差异有统计学意义(P<0.05)。出院后6、12个月,在生理健康方面,三组PF、RP、BP及PCS评分比较,差异均无统计学意义(P>0.05)。三组GH评分比较,差异有统计学意义(P<0.05)。夫妻同居组和与父母同居组的GH评分均高于独居组,差异均有统计学意义(P<0.05)。在心理健康方面,三组VT、SF、RE、MH及MCS评分比较,差异均有统计学意义(P<0.05)。夫妻同居组和与父母同居组VT、SF、RE、MH及MCS评分均高于独居组,差异均有统计学意义(P<0.05)。出院后6、12个月,SF-36量表生理健康方面的PCS得分和心理健康方面的MCS得分均与SDSS得分均呈负相关(P<0.05)。结论:独居的精神疾病患者用药依从性较差,疾病复发率高,与家人同居更有利于改善精神疾病患者生活健康状态、心理健康状态以及维持其社会功能。

Objective:To explore the impact of different living styles on patients with mental illness.Method:A total of 126 patients with mental illness who were hospitalized in our hospital from April to October 2019 were selected,and the general condition questionnaire of all patients was collected upon discharge.According to their living mode after discharge,they were divided into the solitary group,the matrimonial cohabiting group and the cohabiting group with their parents,42 patients in each group.The MOS item short from health survey(SF-36),social disability screening scale(SDSS),drug use and recurrence were compared among three groups.Result:The complete medication compliance rates in the solitary group,the matrimonial cohabiting group and the cohabiting group with their parents were 42.86%,71.43%and 76.19%,respectively.There was significant difference in the complete medication compliance rate among three groups(P<0.05).The complete medication compliance rates in the matrimonial cohabiting group and cohabiting group with their parents were higher than that in the solitary group,the differences were statistically significant(P<0.05).The recurrence rates in the solitary group,matrimonial cohabiting group and the cohabiting group with their parents were 28.57%,11.90%and 9.52%,respectively.There was significant difference in recurrence rate among three groups(P<0.05).The recurrence rates of the matrimonial cohabiting group and cohabiting group with their parents were lower than that in the solitary group,the differences were statistically significant(P<0.05).At 6 and 12 months after discharge,there were statistically significant differences in SDSS scores among three groups(P<0.05).At 6 and 12 months after discharge,the SDSS scores of the matrimonial cohabiting group and the cohabiting group with their parents were lower than those in the solitary group,the differences were statistically significant(P<0.05).At 6 and 12 months after discharge,there were no significant differences in SDSS scores between matrimonial cohabiting group and cohabiting group with their parents(P>0.05).At 12 months after discharge,the SDSS scores in the solitary group was higher than that in 6 months after discharge,the difference was statistically significant(P<0.05).At 6 and 12 months after discharge,in terms of physiological health,there were no significant differences in PF,RP,BP and PCS scores among three groups(P>0.05).There was no significant difference in GH scores among three groups(P>0.05).The GH scores of the matrimonial cohabiting group and cohabiting group with their parents were higher than that in solitary group,the differences were statistically significant(P<0.05).In terms of mental health,there were significant differences in VT,SF,RE,MH and MCS scores among three groups(P<0.05).VT,SF,RE,MH and MCS scores in the matrimonial cohabiting group and cohabiting group with their parents were higher than those in the solitary group,the differences were statistically significant(P<0.05).At 6 and 12 months after discharge,PCS scores for physical health and MCS scores for mental health on the SF-36 scale were negatively correlated with SDSS scores(P<0.05).Conclusion:Patients with mental illness living alone have poor medication compliance and a high rate of disease recurrence.Living with family members is more conducive to improving the life and health of mental illness patients,mental health and maintaining their social functions.