精神分裂症患者吸烟原因及尼古丁依赖程度调查

目的：调查精神分裂症住院患者的吸烟情况、原因及尼古丁依赖情况。方法采用自编调查表、尼古丁依赖严重程度量表（FNTD）和Russell吸烟原因问卷对245例精神分裂症住院患者的吸烟情况进行调查和分析。结果在245例精神分裂症住院患者中，现在吸烟者占17.55％，其中男性占95.35％，女性占4.65％。FNTD均分为4.15±2.18，尼古丁依赖达中重度以上的患者占48.84％，均为男性。Russell量表评分，男女性患者吸烟原因总分分别为22.92±12.89和27.67±17.36，差异无统计学意义（P＞0.05）；吸烟问卷均分最高分别为瘾、手口活动和镇静。结论精神分裂症住院患者男性尼古丁依赖较严重，主要原因是瘾、手口活动和镇静。

A survey on the reasons of smoking and nicotine dependence in patients with schizophrenia

Objective To investigate smoking with its reasons and nicotine dependence in schizophrenic inpatients. Methods Self -designed questionnaire,russell reason for smoking questionnaire and fagerstrom test for nicotine dependence （FNTD ） were used to investigate the reasons of current smoking status in 245 schizophrenic inpatients. Results There were 43 （17.55%）current smoking among 245 schizophrenic inpatients,including 41 （95.35%）males and 2（4.65%）females;and 21（48.84%）were severely dependent on nicotine who was all male.The average score of FNTD was 4.15 ±2.18.According to the scores of russell,the total scores of smoking reasons were 22.92 ±12.89and 27.67 ±17.36 in male and female patients respectively,with no significant difference（P〉0.05）.The highest scores of smoking questionnaire were in addiction,activities of hands or mouth and calmness.Conclusion The schizophrenic inpatients were severely dependent on nicotine.The main reasons are addiction,activities of hands or mouth and calmness.