复员退伍精神分裂症患者的幸福感及相关因素

目的探讨复员退伍精神分裂症患者幸福感的相关因素。方法选取河北省荣军医院180例复员退伍精神分裂症患者，采用一般情况调查表、总体幸福感量表（GwB）、阳性与阴性症状量表（PANSS）、自知力与治疗态度问卷（ITAQ）、不良反应量表（TESS）进行评定，并进行相关性分析。结果不同病程、家族史、婚姻状况、TESS评分的复员退伍精神分裂症患者幸福感差异无统计学意义（P〉0．05）；31～40岁患者的幸福感显著高于51～60岁者（P=0．022）；初中组精力、愉快或-比郁心境因子分高于高中及以上组（P分别为0．012，0．003），小学组愉快或忧郁心境因子分亦高于高中及以上组（P=0．047），而小学组松弛与紧张因子分高于高中以上组（P=0．045）；住院时间≥6年组GwB总分低于〈6年组（P=0．037）；不伴躯体疾病者的愉快或忧郁心境分显著高于伴有者（P=0．001）。PANss量表阴性症状因子分与愉快或忧郁心境呈负相关（r=-0．148，P=0．048）；ITAQ评分与精力及愉快或忧郁心境呈正相关（r分别为0．149，0．155；P分别为0．045，0．037）。多因素Logistic回归分析显示长期住院是影响患者幸福感的主要因素（B=-0．031）。结论复员退伍精神分裂症患者幸福感的影响因素是多方面的，提高其幸福感需要给予综合康复措施。

Analysis of related factors affecting well- being of the veterans with schizophrenia

Objective To explore the related factors affecting well--being of the veterans with schizophrenia. Methods Totals of 180 veterans with schizophrenia in Hebei Rongjun Hospital were se- lected and assessed with the general situation questionnaire, General Well--being Scale（GWB）, Positive and Negative Symptoms Scale（PANSS）, Insight and Treatment Attitude Questionnaire（ITAQ）, Treat- ment Emergent Symptom Scale（TESS）. Results The scores of GWB were no significant in different course of schizophrenia, family history, marital status, side effects of the drugs （P 〉 0.05） ; the score of GWB in 31--40 years old patients was significantly higher than that in 51--60 years old （P = 0. 022） ; the scores of energy level, cheerful vs depressed mood were significantly higher at the middle school than at high school （P = 0. 012,0. 003）, the scores of cheerful vs depressed mood were significantly higher at primary school than at high school, the scores of relaxation and tension were significantly higher at pri- mary school （P = 0. 045）, and that was significantly lowerS6 years in hospital than ~6 years （t = 2. 106,P = 0. 037） the score of cheerful vs depressed mood of patients with a single diagnosis （schizo- phrenia） was significantly higher than them with schizophrenia and physical disease （t =- 3. 460,P = 0. 001）. Negative correlation between the the negative factor score of PANSS and the score of cheerful vs depressed mood was observed （r =-- 0. 148,P = 0. 048） ; and positive correlation between the score of ITAQ and the score of energy level and cheerful vs depressed mood was observed （r = 0. 149,0. 155 ;P = 0. 045,0. 037）. Regression analysis showed that long--term hospitalization was the main factor influencing well--being （B=-0. 031）. Conclusions Many factors may affect the well-- being of the veterans with schizophrenia. The integrated rehabilitation measure should be offered to improve well--being of the veterans with schizophrenia.