上海市社区精神分裂症患者生活质量调查及影响因素分析

发布时间：2018-04-29 05:06

本文选题：精神分裂症 + 生活质量　；参考：《中国全科医学》2014年26期

【摘要】：目的调查上海市社区精神分裂症患者的生活质量状况,分析其影响因素。方法 2012年10—12月,采用方便抽样法选择浦东新区沪东社区在册管理的所有明确诊断为精神分裂症的患者为调查对象。采用生活质量量表(SQLS)、一般自我效能量表(GSES)、社会支持量表(SSRS)进行问卷调查,采用多元逐步回归法筛选社区精神分裂症患者生活质量的影响因素。结果共调查350例社区精神分裂症患者,回收有效问卷335份,回收率为95.7%。社区精神分裂症SQLS总分为(90.86±52.64)分,GSES总分为(18.97±6.27)分,SSRS总分为(28.57±7.23)分。对精神分裂症患者SQLS总分的影响因素进行多元逐步回归分析,结果显示住院次数、生活事件、服药状况、GSES总分、主观支持维度得分5个变量进入模型(R2=36.1%,P0.05);同时,住院次数和GSES总分是SQLS各分量表得分的共同影响因素(P0.05)。结论上海市社区精神分裂患者生活质量受患者GSES总分、社会支持状况、住院次数、生活事件及服药状况等因素的影响,应采取针对性措施进行干预,以提高患者生活质量。
[Abstract]:Objective to investigate the quality of life (QOL) of schizophrenic patients in community in Shanghai and analyze its influencing factors. Methods from October to December, 2012, we selected all the patients with schizophrenia who were definitely diagnosed as schizophrenia in the registered management of Hudong community in Pudong New area by the convenient sampling method. Quality of life (QOL) scale, general self-efficacy scale (GSES) and social support scale (SSRS) were used to investigate the factors affecting the quality of life of schizophrenic patients in community. Results 350 community schizophrenic patients were investigated, 335 valid questionnaires were collected, and the recovery rate was 95.7%. The total score of SQLS in community schizophrenia was 90.86 卤52.64), the total score of SQLS was 18.97 卤6.27) and the total score of SQLS was 28.57 卤7.23. Multivariate stepwise regression analysis was carried out on the influencing factors of the total score of SQLS in schizophrenic patients. The results showed that the total scores of hospitalization, life events, medication status and subjective support dimension entered into the model of R2 / 36.1and P0.05. at the same time, The frequency of hospitalization and the total score of GSES were the common influencing factors of each subscale of SQLS (P 0.05). Conclusion the quality of life of community schizophrenic patients in Shanghai is affected by the total score of GSES, social support, times of hospitalization, life events and the status of taking drugs, and so on. Some measures should be taken to improve the quality of life of the patients.
【作者单位】：上海市浦东新区沪东社区卫生服务中心;上海市浦东新区精神卫生中心;上海市仁济医院;
【基金】：上海市浦东新区卫生系统优秀青年医学人才培养计划资助项目(PWRq2011-33) 上海市浦东新区卫生局课题(PW2011C-06)
【分类号】：R749.3

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