精神分裂症患者肇事肇祸行为的影响因素及预防措施分析

Analysis of Influencing Factors and Preventive Measures of Trouble-making and Accident-causing Behaviors of Schizophrenia Patients

目的探讨精神分裂症(SP)患者肇事肇祸行为的影响因素及其预防措施。方法便利选取2020年2月至2021年12月就诊于江西省荣军优抚医院有肇事肇祸行为的68例SP患者作为观察组,同期选择无肇事肇祸行为的68例SP患者作为对照组,采用自制问卷调查并分析SP患者肇事肇祸行为的影响因素。结果单因素分析结果显示,性别、文化程度、婚姻状况、住院次数、有攻击冲动行为史、家庭人均月收入、自控力差或情绪不稳定与SP患者肇事肇祸行为有关,差异有统计学意义(P<0.05);多因素分析显示,男性、文化程度初中及以下、无配偶、住院次数≥2次、有攻击冲动行为史、家庭人均月收入<3000元、自控力差或情绪不稳定是SP患者出现肇事肇祸行为的高危因素(P<0.05)。结论SP患者肇事肇祸行为发生是多种因素共同作用的结果,临床可针对各因素制订相应的干预对策,以预防或减少肇事肇祸行为发生。

Objective To explore the influencing factors and preventive measures of trouble-making and accident-causing behaviors of schizophrenia(SP)patients.Methods A total of 68 SP patients who had troublemaking and accident-causing behaviors and admitted to Jiangxi Veterans Administration Hospital from February 2020 to December 2021 were selected by convenience sampling and included in the observation group.Another 68 SP patients who had no trouble-making and accident-causing behavior were selected at the same time and included in the control group.They were investigated by using a self-made questionnaire to analyze the influencing factors of SP patients'trouble-making and accident-causing behaviors.Results The results of univariate analysis showed that sex,education level,marital status,number of admissions,history of aggressive impulsive behavior,monthly household income per capita,poor self-control or emotional lability were related to the trouble-making and accident-causing behaviors of SP patients,with statistical difference(P<0.05).Multivariate analysis showed that male,junior high school education or below,no spouse,number of admissions≥2 times,history of aggressive impulsive behavior,monthly household income per capita<RMB 3000,poor self-control or emotional lability were high risk factors for trouble-making and accident-causing behaviors of SP patients(P<0.05).Conclusion Trouble-making and accident-causing behaviors of SP patients are caused by a combination of factors.Corresponding interventions can be formulated for the factor in clinical practice to prevent or reduce trouble-making and accident-causing behaviors.