精神分裂症患者社会融合现状和影响因素分析

王燕; 王铁虎

doi:10.16766/j.cnki.issn.1674-4152.002776

精神分裂症患者社会融合现状和影响因素分析

doi: 10.16766/j.cnki.issn.1674-4152.002776

王燕^1, ,,
王铁虎²

1.
杭州市第七人民医院浙江大学医学院精神卫生中心精神五科，浙江杭州 310012
2.
湖州市第三人民医院精神科，浙江湖州 313000

基金项目:

浙江省医药卫生科技计划项目 2018KY787

详细信息

通讯作者:
王燕, E-mail: yanchangxiaodao11@163.com

中图分类号: R749.3
计量
- 文章访问数: 265
- HTML全文浏览量: 146
- PDF下载量: 11
- 被引次数: 0
出版历程
- 收稿日期: 2021-12-11
- 网络出版日期: 2023-02-07

Analysis of social integration status of schizophrenia patients and its influencing factors

WANG Yan^{1
, ,},
WANG Tie-hu²

1.
Department of 5th Psychiatry, Mental Health Center Zhejiang University of Medical, Hangzhou Seventh People' s Hospital, Hangzhou, Zhejiang 310012, China

摘要

摘要: 目的对精神分裂症患者的社会融合状况及其影响因素进行分析，为改善患者的社会融合状况提供一定的理论依据。方法选取2018年2月—2020年2月杭州市第七人民医院收治的精神分裂症患者145例为研究对象。采用社会融合自评问卷、住院精神病人社会功能评定量表、社会支持评定量表以及家庭功能评估表等对患者的社会融合状况及相关因素进行分析。结果精神分裂症患者的社会融合总得分为(49.08±4.86)分；单因素分析结果显示，男性、已就业、文化程度高、已婚、年龄≤45岁、无社会功能缺陷、社会支持总分和家庭功能总分较高的患者社会融合得分均明显高于女性、无业、文化程度低、未婚或离异、年龄>45岁、有社会功能缺陷、社会支持总分和家庭功能总分较低的患者(均P < 0.05)；logistic回归分析结果显示，患者年龄大、未婚或离异、社会功能缺陷是影响社会融合得分的危险因素(均P < 0.05)，患者良好的社会支持和家庭功能是社会融合得分的保护因素(均P < 0.01)。结论精神分裂症患者的社会融合得分较低，影响患者社会融合的因素较多，其中年龄大、未婚或离异、社会功能缺陷是影响患者社会融合得分的危险因素；良好的社会支持和家庭功能是保护因素，临床应采取相应措施改善患者的社会融合状况。
- 精神分裂症 /
- 社会融合 /
- 社会功能 /
- 家庭功能
Abstract: Objective To analyse the social integration status of schizophrenia patients and its influencing factors, and provide theoretical basis for improving the social integration of patients. Methods A total of 145 patients with schizophrenia admitted to Hangzhou Seventh People' s Hospital from February 2018 to February 2020 were selected as the research objects. The social integration status and related factors were analysed by self-assessment questionnaire, social function assessment scale for inpatients, social support rating scale and family function assessment scale. Results The total score of social integration of schizophrenia patients was (49.08±4.86) points. The results of univariate analysis showed that the social integration scores of male, employed, highly educated, married, ≤45 years old, without social function defects, with higher total scores of social support and family function were significantly higher than those of female, unemployed, with low educational level, unmarried or divorced, >45 years old, with social function defects, with lower total scores of social support and family function (all P < 0.05). The results of logistic regression analysis showed that age, unmarried or divorced, and social function defect were the risk factors for social integration score (all P < 0.05), and good social support and family function of the patients were the protective factors for social integration score (all P < 0.01). Conclusion The score of social integration of schizophrenia patients is low, and there are various factors affecting the score of social integration of patients. Among them, age, unmarried or divorced, and social dysfunction are risk factors affecting the score of social integration, and social support and family function are protective factors. Therefore, clinical measures should be taken to improve the social integration of patients.
- Schizophrenia /
- Social integration /
- Social function /
- Family functions

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表 1 不同临床指标的患者社会融合得分比较(x±s，分)

Table 1. Comparison of social integration scores of patients with different clinical indicators

项目	例数	社会融合得分	统计量	P值
性别			2.159^a	0.033
男性	76	50.15±5.26
女性	69	48.31±4.97
年龄(岁)			4.416^a	< 0.001
≤45	61	50.63±4.17
＞45	84	47.23±4.85
就业情况			2.263^a	0.025
就业	52	50.27±4.31
无业	93	48.45±4.82
文化程度			3.228^b	0.043
初中以下	62	48.75±4.65
初中至高中	61	49.98±4.71
高中以上	22	51.63±4.82
婚姻状况			4.217^b	0.017
已婚	92	50.26±4.12
离异	25	48.21±4.76
未婚	28	47.93±4.98
病程(年)			1.421^a	0.157
< 10	68	50.15±4.18
10~20	77	49.17±4.11
社会功能缺陷			5.684^a	< 0.001
无缺陷	56	52.67±5.92
有缺陷	89	46.96±5.87
社会支持总分(分)			5.665^a	< 0.001
≥20	42	52.85±4.78
< 20	103	47.87±4.81
家庭功能总分(分)			13.118^b	< 0.001
0~3	45	46.19±4.18
4~6	81	48.35±4.93
7~10	19	52.98±5.89
注：^a为t值，^b为F值。

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表 2 影响患者社会融合得分的相关因素赋值

Table 2. Correlation factor assignment of factors affecting patients' social integration scores

变量	赋值方法
社会融合得分	≤49分=0，＞49分=1
性别	男性=1，女性=2
年龄	≤45岁=0，＞45岁=1
就业情况	无=0，有=1
文化程度	初中以下=1，初中至高中=2, 高中以上=3
婚姻状况	未婚=(1, 0, 0)，已婚=(0, 1, 0)，离异=(0, 0, 1)
社会功能缺陷	无缺陷=0，有缺陷=1
社会支持总分	≥20分=0， < 20分=1
家庭功能总分	0~3分=1，4~6分=2，7~10分=3

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表 3 影响患者社会融合得分的logistic回归分析

Table 3. Logistic regression analysis affecting patients' social integration scores

变量	B	SE	Wald χ²	P值	OR值	95% CI
性别	0.212	0.105	1.238	0.266	1.236	1.006~1.519
年龄	1.728	0.387	5.326	0.021	5.628	2.636~12.016
就业情况	1.336	0.661	9.891	0.002	3.803	1.041~13.892
文化程度	0.243	0.165	1.287	0.257	1.275	0.923~1.762
婚姻状况	0.912	0.365	4.926	0.026	2.489	1.217~5.090
社会功能缺陷	1.556	0.652	9.793	0.002	4.739	1.321~17.007
社会支持总分	-0.782	0.286	4.005	0.045	0.458	0.261~0.801
家庭功能总分	-1.558	0.497	5.891	0.015	0.211	0.080~0.558

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