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严重精神障碍者肇事肇祸影响因素特征研究

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目的:探讨严重精神障碍者肇事肇祸的影响因素特征.方法:选取2022年8月至2023年11月福州市第二总医院神经精神病防治院住院及门诊收治的严重精神障碍者120例作为研究对象,以修改版外显攻击行为量表(MOAS)对患者的危险行为进行评估,评分>4分为危险组,评分≤4分为无危险组.比较两组基本资料,分析影响严重精神障碍者肇事肇祸的危险因素.结果:危险组与无危险组的年龄、经济情况、病程、服药规律性、自知力、是否参加社区康复服务差异有统计学意义(P<0.05);病程、服药规律性、自知力以及是否参加社区康复服务是影响严重精神障碍者肇事肇祸的独立危险因素(P<0.05).结论:临床需要加强对病程长、未规律服药、自知力差以及未参加社区康复服务严重精神障碍者的监管工作,减少其肇事肇祸行为.
Study on the characteristics of the influencing factors of troubles and accidents causing by people with severe mental disorders
Objective:To explore the characteristics of influencing factors of troubles and accidents causing by people with severe mental disorders.Methods:A total of 120 patients with severe mental disorders admitted in and out of the Neuropsychiatric Prevention Hospital of Fuzhou Second General Hospital from August 2022 to November 2023 were selected as the study objects.The modified overt aggression scale(MOAS)was used to evaluate the risk behaviors of patients.The patients were divided into the risk group with a score of>4 and the non-risk group with a score of≤4.The basic data of the two groups were compared to analyze the risk factors affecting the troubles and accidents of the patients with severe mental disorders.Results:There were significant differences between risk group and non-risk group in age,economic status,course of disease,medication regularity,self-awareness and participation in community rehabilitation services(P<0.05).The course of disease,the medication regularity,the self-awareness and whether to participate in community rehabilitation service were the independent risk factors of causing troubles and accidents in the patients with severe mental disorders(P<0.05).Conclusion:It is necessary to strengthen the supervision of patients with severe mental disorders who have a long course of disease,irregular medication,poor self-awareness and non-participation in community rehabilitation services,so as to reduce the occurrence of their accident-causing behaviors.

Severe mental disorderCause troubles and accidentsMedication regularityself-awarenessInfluencing factor

林景、黄航、郑成畴、黄东、汪孝魁

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福州市第二总医院神经精神病防治院精神科81区,福建 福州 350800

严重精神障碍 肇事肇祸 服药规律性 自知力 影响因素

2024

延边大学医学学报
延边大学

延边大学医学学报

影响因子:0.308
ISSN:1000-1824
年,卷(期):2024.47(3)