| 马显明,史欣慧,冶春莲,张晓萍.82例精神分裂症患者居家治疗状况及其影响因素分析.[J].中南医学科学杂志.,2021,(3):326-330. |
| 82例精神分裂症患者居家治疗状况及其影响因素分析 |
| Analysis of home treatment status and influencing factors of patients with 82 schizophrenia |
| 投稿时间：2020-10-23 修订日期：2020-11-30 |
| DOI：10.15972/j.cnki.43-1509/r.2021.03.017 |
| 中文关键词: 精神分裂症 居家治疗 疗效 影响因素 |
| 英文关键词:schizophrenia home treatment efficacy influencing factors |
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| 中文摘要: |
| 目的观察青海省第三人民医院精神分裂症患者居家治疗状况,分析影响居家治疗状况的因素。方法选取接受治疗后出院的82例精神分裂症患者,全部患者均接受常规治疗,观察患者居家治疗状况,于治疗6个月后评估治疗效果,并分析居家治疗状况的影响因素。结果82例精神分裂症患者经治疗后,痊愈10例,显效29例,有效38例,无效5例,总显效率为47.56%；居家治疗效果不佳组的治疗方案不准确、难以合理控制情绪、监护人监护能力弱、饮酒史、吸烟史占比均高于居家治疗效果良好组,差异有统计学意义(P＜0.05),组间其他基线资料比较差异无统计学意义；将差异有统计学意义的变量逐个纳入行单项Logistic回归分析,将全部变量纳入建立多元回归模型行多因素分析,结果显示,治疗方案不准确、无法合理控制情绪、监护人监护能力弱、饮酒史、吸烟史为精神分裂症患者居家治疗效果不佳的影响因素(OR＞1,P＜0.05)。结论治疗方案不准确、无法合理控制情绪、监护人监护能力弱、吸烟史、饮酒史均可能会导致精神分裂症患者居家治疗效果降低,建议临床应重视存在上述居家治疗风险因素的患者,并尽早干预。 |
| 英文摘要: |
| To observe the home treatment status of schizophrenia patients in the third people’s hospital of qinghai province, and analyze the influencing factors of home treatment status. Methods82 patients with schizophrenia who received treatment and then were discharged were selected, and all patients received corresponding antipsychotic treatment. The study observed the home treatment status of all patients, evaluated the treatment effect after 6 months of treatment, and analyzed the factors that affected the home treatment status through single factor and multi-factor analysis.ResultsAfter treatment, among 82 patients with schizophrenia, 10 cases recovered, 29 cases were markedly effective, 38 cases were effective, 5 cases were ineffective, and the total effective rate was 47.56%; the proportion of inaccurate treatment plan, inability to reasonably control emotions, weak guardianship of guardians, drinking history, smoking history in the poor home treatment group was higher than that in the good home treatment group, with a statistical significant difference (P＜0.05); comparing other baseline data between groups, there was no statistical significant difference ; the variables with statistically significant differences were included one by one, and the single Logistic regression analysis was performed, and then all variables were included, the multiple regression model was established and multi factor analysis was conducted, the results showed that inaccurate treatment plan, inability to reasonably control emotions, weak guardianship of guardians, smoking history and drinking history were the influencing factors of poor home treatment for patients with schizophrenia (OR＞1, P＜0.05). ConclusionInaccurate treatment plan, inability to reasonably control emotions, weak guardian’s ability to monitor, history of smoking and history of drinking, might reduce the therapeutic effect of schizophrenia at home. It is suggested that attention should be paid to the patients with the above risk factors of home treatment and intervention was needed as soon as possible. |
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