重庆市流动人口精神分裂症患者的特征分析

Analysis on characteristics of schizophrenia patients among floating population in Chongqing City

目的 分析重庆市流动人口精神分裂症患者与户籍人口精神分裂症患者的特征。方法 选取2019年8月至2020年2月在管的精神分裂症患者216例(流动人口104例为研究组,户籍人口112例为对照组),从一般人口学特征、经济状况、住房条件、严重精神障碍危险性等级、阳性和阴性症状量表(PANSS)、不良事件量表(TESS)、自知力及治疗态度问卷(ITAQ)、社会功能缺陷筛选量表(SDSS)、社会支持评定量表(SSRS)、家庭疾病负担量表(FBS)、生存质量测定简表(WHOQOL-BREF)等进行评估,分析两组患者的差异。结果 与户籍人口精神分裂症患者相比,流动人口精神分裂症患者年龄小,受教育水平低,经济状况和住房条件差,复发次数、住院次数多,PANSS评分阳性分、SDSS评分、FBS评分高,SSRS评分、WHOQOL-BREF评分低,差异有统计学意义(P<0.05)。结论 流动人口精神分裂症患者社会功能缺陷明显,社会支持差,疾病负担重,生存质量差,应加强患者流动管理和社会心理卫生服务。

Objective To analyze the characteristics of schizophrenia patients among the floating population and registered population in Chongqing City.Methods A total of 216 managed patients with schizophrenia from August 2019 to February 2020 were selected(104 cases in the floating population as the study group and 112 cases in the registered population as the control group).They were evaluated by the general demographic characteristics, economic status, housing conditions, risk level of serious mental disorders, Positive and Negative Syndrome Scale(PANSS),Treatment Side Effects Scale(TESS),Insight and Treatment Attitude Questionnaire(ITAQ),Social Deficiency Screening Scale(SDSS),Social Support Rating Scale SSRS,Family Burden of Disease Scale(FBS),Short Form for Quality of Life Measurement(WHOQOL-BREF),etc.The differences between the two groups were analyzed.Results Compared with the schizophrenia patients in the registered population, the age of schizophrenia patients in the floating population was younger, the education level was lower, the economic situation and housing conditions were poor, there were more recurrences, and more hospitalizations, high PANSS positive score, SDSS score and FBS score, low SSRS score and WHOQOL-BREF score, and the differences were statistically significant(P<0.05).Conclusion The patients with schizophrenia in the floating population have significant social function defect, poor social support, heavy disease load and poor survival quality.The patient mobility management and psychosocial health services should be strengthened.