首次与再次住院的精神分裂症患者费用及相关因素比较

目的探讨首次与再次住院的精神分裂症患者在费用及其他相关方面的异同。方法将218例精神分裂症患者按住院次数分为首次住院87例和再次住院131例两组，采用自编的《精神分裂症患者住院费用影响因素调查表》对所需资料进行调查研究。结果两组患者的人均住院费用及其构成比较差异无统计学意义（P〉0．05），主要为治疗费（约占42％），床位费（约占25％），药费（约占18％）。再次住院组患者多无职业、年龄偏大、病程较长、较少应用第二代抗精神病药、疗效较差、家庭经济较差、日均费用较低（P〈0．05或〈0．01）。结论尽管首次住院与再次住院的精神分裂症患者的人均住院费用无多大差异，但必须重视患者的首次住院治疗以免再次住院加重经济负担。

Compared analysis on the expenses and related factors in schizophrenic inpatients between the first and second hospitalization

Objective To explore the common and differences of hospitalization expenses and other related factors in schizophrenic inpatients between the first and second hospitalization. Methods 218 inpatients with schizophrenia were divided into first hospitalization group（ n = 87 ） and second hospi- talization group（n = 131 ）. The investigation data were studied with self- made scale of hospitalization expenses and influencing factors in schizophrenic inpatients. Results There was no significant difference on average hospitalization expense and constitute between the two groups （ P 〉 0.05）. The main expenses were the costs of treatment （ about 42% ）, berth（ about 25% ） and drug（ about 18% ）. Patients in second hospitalization were more non -occupation, higher age, longer ill -course,fewer using second rank drug, worse efficacy, lower level of family economy and lower daily average expenses （ P 〈 0.05 ）. Conclusions Although there is no significant difference on average hospitalization expense between the first and second hospitalization, importance must be attached to the treatment of first hospitalization, so as to avoid second hospitalization and extra economy burden.