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精神分裂症患者住院时间与疗效的关系
引用本文:周燕玲,宁玉萍,何红波. 精神分裂症患者住院时间与疗效的关系[J]. 临床精神医学杂志, 2014, 0(4): 241-243
作者姓名:周燕玲  宁玉萍  何红波
作者单位:广州市精神病医院精神神经科学研究所,510370
摘    要:目的:探讨精神分裂症患者住院时间与疗效的关系。方法:以10 d为间隔将235例精神分裂症患者按住院时间分为7~20 d、30 d、40 d、50 d、60 d及60 d组,在住院第1周和最后1周分别应用阳性和阴性症状量表(PANSS)及自知力和治疗态度问卷(ITAQ)评估病情及自知力;分析住院时间与疗效的关系。结果:235例患者平均住院时间为64.3 d;住院时间与出院时ITAQ总分(r=0.294)、PANSS总分(r=-0.407)、阳性症状分(r=-0.369)及PANSS总分减分率(r=0.377)、阳性症状分减分率(r=-0.369)的相关系数在7~30 d组最大;住院≥31 d后其疗效与30 d比较差异无统计学意义。结论:精神分裂症患者住院30 d后,疗效可能不会随着住院时间延长而显著改善。

关 键 词:精神分裂症  住院时间  疗效

Correlation between hosPitalization time and curative effect in Patients with schizoPhrenia
ZHOU Yan-ling,NING Yu-ping,HE Hong-bo. Correlation between hosPitalization time and curative effect in Patients with schizoPhrenia[J]. Journal of Clinical Psychological Medicine, 2014, 0(4): 241-243
Authors:ZHOU Yan-ling  NING Yu-ping  HE Hong-bo
Affiliation:( Guangzhou Psychiatric Hospital, the Affiliated Hospital of Guangzhou Medical University, Guangzhou 510370, China)
Abstract:To explore the correlation between hospitalization time and curative effect in pa-tients with schizophrenia. Method:Interval for 10 days,the 235 hospitalized schizophrenic patients were di-vided into 7 - 20 d,30 d,40 d,50 d,60 d and ﹥ 60 d groups according to their hospitalization time. All of the patients were assessed by positive and negative syndrome scale(PANSS)and treatment attitudes questionnaire (ITAQ)in the first and last week during the hospitalization respectively. The correlation between hospitaliza-tion time and curative effect was analyzed. Results:Total 235 patients were involved this study. The average hospitalization time was 64. 3 d. The correlation coefficients between hospitalization time and total scores of ITAQ(r = 0. 294),PANSS(r = - 0. 407),score of positive symptoms points(r = - 0. 369),decreased ratios of PANSS total score(r = 0. 377)and positive symptoms score(r = - 0. 369)in 7 - 30 d group were the big-gest. The curative effect between hospitalization time≥31 and ﹤30 d was not significantly different. Conclusion:The curative effect of schizophrenic patients after hospitalized over 30 d may not be improved significantly as the hospitalization time extended.
Keywords:schizophrenia  hospitalization time  curative effect
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