非药物因素对精神分裂症复发的影响

Influence of non-pharmaceutical factor on schizophrenia recrudesce

目的研究精神分裂症并分析易复发的原因;分析社会功能、社会支持、家庭负担、家庭支持、家庭环境、家庭教育等多个非药物影响因素对精神分裂症复发因素的影响,为后期预防和干预提供参考依据。方法选择2019年11月—2022年2月本院门诊或住院就诊的符合ICD-10精神分裂症诊断标准的患者200例作为研究对象,研究团队对患者出院后1年内病情走向进行观察,依据患者病情的PANSS评分增减分为稳定组和复发组,采用家庭疾病负担表、社会功能量表、社会支持评定量表、家庭环境量表、家庭教养方式量表于患者离院时、离院后1年进行测评,比较两组评分差异。结果稳定组社会支持量表得分为(39.21±7.02)分,高于复发组的(30.66±8.98)分,差异具有统计学意义(P<0.05);稳定组家庭环境量表得分为(70.25±9.25)分,高于复发组的(60.23±10.26)分,差异具有统计学意义(P<0.05);稳定组家庭教养方式量表得分为(120.48±12.23)分,高于复发组的(100.56±10.25)分,差异具有统计学意义(P<0.05);稳定组在家庭疾病负担量表上得分为(21.46±4.37)分,低于复发组的(26.34±6.15)分,但差异无统计学意义(P>0.05);稳定组的社会功能量表得分为(44.44±12.15)高于复发组的(43.95±11.35)分,差异不具有统计学意义(P>0.05)。结论社会支持、家庭环境、家庭教育与精神分裂症患者康复有关。

Objective To study schizophrenia and analyze the causes of recurrence;to analyze the effects of social function,social support,family burden,family support,family environment,family education and other non-pharmaceutical influencing factors on the recurrence of schizophrenia,so as to provide reference for later prevention and interventions.Methods 200 patients who met the diagnostic criteria of ICD-10 schizophrenia in our hospital from November 2019 to February 2022 were selected as the study subjects.The research team observed the trend of patients'condition within 1 year after discharge,and divided them into stable group and recurrence group according to the increase or decrease of PANSS score of patients'condition.Family disease burden scale,social function scale,social support rating scale,family environment scale and family parenting style scale were used to evaluate the condition of patients at discharge and at 1 year after discharge,and the score differences between the two groups were compared.Results The comparison of scores of scales between the two groups showed that the score of social support scale in the stable group(39.21±7.02)was significantly higher than that in the recurrence group(30.66±8.98),and the difference was statistically significant(P<0.05);the score of family environment scale in stable group(70.25±9.25)was significantly higher than that in recurrence group(60.23±10.26),and the difference was statistically significant(P<0.05);the score of family parenting style scale in stable group(120.48±12.23)was significantly higher than that in relapse group(100.56±10.25),and the difference was statistically significant(P<0.05);the score of family disease burden scale in the stable group(21.46±4.37)was lower than that in the relapse group(26.34±6.15),however,there was no significant difference(P>0.05);the score of social function scale in the stable group(44.44±12.15)was higher than that in the relapse group(43.95±11.35),however,the difference was not statistically significant(P>0.05).Conclusions Social support,family environment and family education are related to the rehabilitation of schizophrenia patients.