精神分裂症住院患者危险行为的影响因素分析

doi:10.3969/j.issn.1006-7795.2021.02.027

首都医科大学学报 ›› 2021, Vol. 42 ›› Issue (2): 323-327.doi: 10.3969/j.issn.1006-7795.2021.02.027

精神分裂症住院患者危险行为的影响因素分析

仪玉伟¹, 闫芳^2,3,*, 靳玉宏¹, 肖存利¹

1. 北京市西城区平安医院精神科, 北京 100035;
2. 首都医科大学附属北京安定医院国家精神心理疾病临床研究中心精神疾病诊断与治疗北京市重点实验室, 北京 100088;
3. 首都医科大学人脑保护高精尖创新中心, 北京 100069

收稿日期:2020-02-18 发布日期:2021-04-26

Analysis of influencing factors of risk behaviors of inpatients with schizophrenia

Yi Yuwei¹, Yan Fang^{2, 3, *}, Jin Yuhong¹, Xiao Cunli¹

1. Department of Psychiaticry, Beijing Xicheng District Pingan Hospital, Beijing 100035, China;
2. National Clinical Research Center for Mental Disorders Beijing & Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China;
3. Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China

Received:2020-02-18 Published:2021-04-26
Contact: ^*E-mail:darrel@126.com

摘要/Abstract

摘要： 目的探索影响精神分裂症住院患者发生危险行为的相关影响因素。方法采用回顾性研究方法,在北京市根据地理分布采用方便抽样的方法选取4个区中5家精神专科医院,将2016年1月至10月住院的625例精神分裂症患者作为调查对象,使用自制的调查问卷进行调查,评估分析患者危险行为的发生及其相关影响因素。结果单因素分析显示,与无危险组比较,危险行为组中性别、年龄阶段、家庭邻里关系、工作状态、应激生活事件、精神症状、服药情况、就医态度、既往威胁性言语等方面差异有统计学意义(P<0.05)。多因素Logistic 回归分析显示,年龄(OR=0.62,P=0.017)、生活应激事件(OR=2.08,P=0.001)、幻觉妄想(OR=1.77,P=0.026)、怪异行为(OR=1.61,P=0.02)、就医态度(OR=2.60,P=0.029)、既往威胁性言语(OR=6.77,P<0.001)与危险行为相关。结论 45岁以下、幻觉妄想、怪异行为、被动就医、生活应激事件、既往威胁性言语是精神分裂症住院患者发生危险行为的主要相关因素。

关键词: 精神分裂症, 危险行为, 影响因素

Abstract: Objective To explore the influencing factors of risk behaviors inpatients with schizophrenia.Methods Using retrospective research methods, 5 psychiatric hospitals in 4 districts were selected in Beijing based on geographical distribution using convenient sampling methods, and 625 patients with schizophrenia who were hospitalized from January 2016 to October 2016 were selected as the survey subjects, and the self-made questionnaire was used for investigationtoassess and analyze the occurrence of patients' risky behaviors and related factors.Results Univariate analysis showed that compared with the non-risk group, there were significant differences in gender, age stage, family-neighborhood relationship, work status, stressful events, mental symptoms, medication status, medical treatment attitude, and history of threatening speech in the risk behavior group(P<0.05). Logistic regression analysis showed that risk behaviors in patients with schizophrenia were related to age stage(OR=0.62,P=0.017),stress events(OR=2.08,P=0.001), hallucinations(OR=1.77,P=0.026),weird behaviors(OR=1.61,P=0.02), medical attitudes,(OR=2.60,P=0.029) and history of threatening speech(OR=6.77,P<0.001).Conclusion Under 45 years of age, hallucinations, weird behaviors, passive medical attitudes, stress events, and history of threatening speech are the main related influencing factors of risky behaviors in hospitalized patients with schizophrenia.

Key words: schizophrenia, risk behavior, influencing factors

中图分类号:

R749

仪玉伟, 闫芳, 靳玉宏, 肖存利. 精神分裂症住院患者危险行为的影响因素分析[J]. 首都医科大学学报, 2021, 42(2): 323-327.

Yi Yuwei, Yan Fang, Jin Yuhong, Xiao Cunli. Analysis of influencing factors of risk behaviors of inpatients with schizophrenia[J]. Journal of Capital Medical University, 2021, 42(2): 323-327.

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精神分裂症住院患者危险行为的影响因素分析

Analysis of influencing factors of risk behaviors of inpatients with schizophrenia

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