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精神分裂症巩固期患者康复的影响因素分析

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目的 探讨影响精神分裂症巩固期患者康复的因素.方法 选取 2019 年 3 月—2022 年 2 月在宜春市第三人民医院接受诊治的87 例精神分裂症巩固期患者为研究对象.以巩固治疗 6 个月时简明精神病评定量表(BPRS)评分定义患者康复结局,BPRS≥35 分即视为康复不良.使用Logistic回归分析精神分裂症巩固期患者康复的影响因素.结果 本研究共收录 87 例达到巩固治疗期的患者,3 例患者受认知障碍影响而没能完成问卷填写,1 例反复填写有误,均导致回收无效,治疗期间2 例产生暴力行为被强制控制,1 例出院后失访,最终 80 例患者获得研究结果.80 例患者BPRS评分为 28.00(23.00,32.00)分,其中14例患者得分>35分,为康复不良组.单因素分析显示,康复不良组未治期婚姻、自杀史、社会化住院、自我怜悯评分(SCS)与康复良好组比较差异有统计学意义(P<0.05).经Logistic回归分析,自我怜悯、自杀史、社会化住院是导致精神分裂症巩固期患者康复不良的主要影响因素,差异均有统计学意义(P<0.05).结论 影响精神分裂症巩固期患者康复结局的因素包括自我怜悯、自杀史、社会化住院,临床应重视影响患者康复的因素,采取干预措施,以促进患者康复.
Analysis of influencing factors for rehabilitation of schizophrenia patients in the consolidation phase
Objective To explore the factors that affected the recovery of patients with schizophrenia in the consolidation phase.Methods A total of 87 patients in the consolidation period of schizophrenia who were treated in Yichun Third People's Hospital from March 2019 to February 2022 were selected as the research subjects.The Brief Psychiatric Rating Scale(BPRS)score at 6 months after consolidation treatment was used to define the patient's recovery outcome,and a BPRS score≥35 was considered poor recovery.Logistic regression was used to analyze the influencing factors of recovery in patients with schizophrenia in the consolidation phase.Results A total of 87 patients who reached the consolidation treatment period were included in this study.Three patients were unable to complete the questionnaire due to cognitive impairment,and one patient repeatedly filled in the questionnaire incorrectly,both of which resulted in invalid collection.During the treatment,two patients developed violent behaviors and were forcibly controlled,and one patient was lost to follow-up after discharge.Finally,80 patients obtained research results.The BPRS score of 80 patients was 28.00(23.00,32.00)points.Among them,14 patients scored more than 35 points,belonging to the poor recovery group.Univariate analysis showed that there were significant differences in the marriage,suicide history,socialized hospitalization and Self-Compassion Scale(SCS)score between the poor recovery group and the good recovery group(P<0.05).Logistic regression analysis showed that the self-compassion,suicide history,and socialized hospitalization were the main factors leading to poor recovery in patients in the consolidation phase of schizophrenia,and the differences were statistically significant(P<0.05).Conclusion Factors affecting the recovery outcomes of patients with schizophrenia in the consolidation phase included self-compassion,suicide history,and socialized hospitalization.Clinical attention should be paid to the factors affecting the recovery of patients and intervention measures should be taken to promote their recovery.

SchizophreniaConsolidation treatment periodRehabilitationSelf-compassionSocialized hospitalizationInfluencing factorsAnalysisIntervention measures

周玉娟、黄清清、廖燕、张小连、钟运梅

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宜春市第三人民医院精神科(江西省宜春市,336000)

精神分裂症 巩固治疗期 康复 自我怜悯 社会化住院 影响因素 分析 干预措施

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(8)
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