成都市社区精神分裂症患者危险性行为相关因素分析

目的了解影响成都市社区精神分裂症患者危险性行为的相关因素。方法对成都市金牛区社区精神分裂症患者进行持续3年的随访,得到307例患者的随访资料。每个月随访内容包括阳性和阴性症状量表（PANSS）;既往180d内的服药和住院时间;病情变化,服药情况等;社会功能缺陷量表（SDSS）;危险性行为评定量表。相关分析用logistic回归方法。结果性别（β=0.05）、社会功能低下（β=0.28）与暴力行为相关;性别（β=0.27）、PANSS（β=0.23）和稳定居住时间少（β=-0.28）与肇事相关;PANSS（β=0.04）和服药天数（β=-0.21）与肇祸相关。结论加强对精神分裂症患者症状的控制,以及对流浪患者的监管能够减少患者的危险性行为;另外,应该普及精神疾病相关知识,消除社会对精神疾病的歧视。

Analysis of factors associated with risks of individuals with schizophrenia living in Chengdu communities

Objective We seek to identity some factors influencing the dangerous behaviors of patients with schizophrenia living in communities of Chengdu.Methods Completed data of 307 patients with schizophrenia were collected through 3 years follow-up.Some tools including PANSS,SDSS and Risks Scale were employed to assess the seriousness of mental illness,social functions of patients and dangerous behaviors of patients.We used logistic analysis to find out needed factors.Results The outcome of analysis showed that Sex（β=0.05） and SDSS（β=0.28） associate to violent behaviors;sex（β=0.27）,PANSS（β=0.23） and stable resident time（β=-0.28）are relative to disturbing;PANSS（β=0.04） and taking medicine days（β=-0.21） are connected with criminal accidents.Conclusion As we obtain the significant factors,we suggest that relieving symptoms of patients and strengthening the supervision of vagrant patients could diminish rates of dangerous behaviors of patients with schizophrenia.