首发精神分裂症患者社会化住院影响因素研究

目的 调查首发精神分裂症患者社会化住院影响因素.方法 采用一般资料调查表、精神分裂症患者"社会化住院"评估标准、医院焦虑抑郁量表、简易精神状态检查表、睡眠障碍评定量表、改良Barthel指数量表对612例首发精神分裂症患者进行调查,采用Logistic回归分析其社会化住院现状及影响因素.结果 符合社会化住院标准首发精神...

The influencing factors of socialized hospitalization in the first-episode schizophrenics

Objective To investigate influencing factors of the first-episode schizophrenics'socialized hospitalization.Methods The general data Questionnaire,the"socialized hospitalization"assessment standard for schizophrenia,the Hospital Anxiety and Depression Scale,the MiniMental State Examination,the Sleep Dysfunction Rating Scale,and Modified Barthel Index Scale were used to investigate 612 patients with first-episode schizophrenia.Logistic regression was used to analyze the status quo of socialized hospitalization and its influencing factors.Results There were 157 patients(25.65%)who met the criteria for socialized hospitalization with first-episode schizophrenia.The factors influencing socialized hospitalization included age,whether there were other chronic diseases,marital status,per capita monthly income of the family,payment method of medical expenses,anxiety,whether there were cognitive disorders,sleep disorders,and activities of daily living(P<0.01).Conclusion It is necessary to reduce the degree of socialization of first-episode schizophrenia patients in hospital need,therefore,the hospital under the guidance of medical and health departments,actively cooperate with community service center,townships health center,social welfare,social chronic disease rehabilitation center and social care services such as health care facilities institutions,form"hospital-community-family continuity"three-level medical service mechanism for patients with schizophrenia after discharge.Medical staff provide positive psychological guidance and counseling to first-episode schizophrenia patients who meet discharge standards,relieve their psychological burden,eliminate their anxiety,and help patients establish confidence in conquering the disease and reentering the society.