住院慢性精神分裂症患者个体和社会功能的评估及影响因素分析

目的:分析住院慢性稳定期精神分裂症患者的个人和社会功能及其影响因素。方法:对120例住院慢性稳定期精神分裂症患者采用个人和社会功能量表中文版(PSP)、患者健康问卷(PHQ)及阳性和阴性症状量表(PANSS)等进行个人和社会功能及精神病性状的评估。并对结果进行分析。结果:个人和社会功能低下患者2例(1.7%),有不同程度的能力缺陷患者72例(60.0%),社会功能和人际交往无困难或有轻微困难患者46例(38.3%);患者的个人和社会功能与性别(r=0.568,P0.01)及本次病程(r=-0.362,P0.01)存在显著相关性,患者的干扰和攻击行为与其精神症状显著相关(r=0.30,P0.01)。结论:住院慢性稳定期精神分裂症患者大部分存在不同程度的个人和社会能力缺陷;其中,社会中有用的活动及干扰和攻击行为与患者的精神症状、躯体症状群严重程度及抑郁症状群严重程度显著相关。

Assessment and analysis of influencing factors affecting the personal and social functioning of chronic schizophrenic inpatients

Objective：To analyze the personal and social function and their influence factors of inpatients with chronic stable schizophrenia. Method：One hundred and twenty cases were evaluated by Chinese version of personal and social performancescale（PSP-CHN）,patient health questionaire（PHQ）,and positive and negative symptoms scale（PANSS）. The data was analyzed. Results：There was 2 cases（1. 7% ）in personal and social dysfunction,72 cases（60. 0% ）with varying degrees of functional defects,46 cases（38. 3% ）without social dys-function or with minor damage. There was significant correlation between personal and social function and gender （r =0. 568,P 〈0. 01）and the course of the disease（r = -0. 362,P 〈0. 01）,and between disturbing and aggres-sive behaviors and psychiatric symptoms of these patients（r = 0. 30,P 〈 0. 01）. Conclusion：Most inpatient with chronic stable schizophrenia have different degree of personal and social ability defects. There are significant correlation between socially useful activities,disturbing and aggressive behaviors and psychiatric symptoms.