87例流浪精神障碍患者临床分析

目的：对比住院的流浪与非流浪精神障碍患者临床特点差异。方法：选择2006年住院的87例流浪精神障碍患者作为流浪者组，男52例，女35例；在同期入院的其他精神障碍患者中随机选取90例作为对照组，男59例，女31例；比较分析两组有关情况，并作护士用住院病人观察量表（NOSIE）与阳性与阴性症状量表（PANSS）评定。结果：两组在入院原因，出入院方式，诊断，住院时间，疗效，NOSIE和PANSS评分等方面均有显著差异。结论：流浪精神障碍患者精神症状较重，多伴发躯体疾病，阳性症状突出，生活自理能力低，疗效较差，医院负担重。

Clinical analysis on 87 vagrant patients with mental disorder

Objective:To compare the difference of clinical characteristic between vagrant and non-vagrant inpatients with mental disorder. Method:87 vagrant inpatients with mental disorder as vagrant group in 2006,among them,52 male and 35 female,and randomly sampled 90 inpatients with other mental disorder as control group at the same period with 59 male and 31 female.The related data of the two groups were compared and the Nurses' observation scale for inpatient evaluation (NOSIE) and positive and negative syndrome scale (PANSS) were used as evaluation tools. Results:There were significant differences between the two groups in causes of admission,modes of admission and discharge,diagnosis,hospitalization time,efficacy and scores of NOSIE and PANSS. Conclusion:The vagrant patients with mental disorder have more severe psychotic symptoms,more accompanied somatic diseases,more obvious positive psychotic symptoms,lower capacity in self-care and poorer efficacy and thus being heavier burdens to hospital.