绵阳市134例精神分裂症患者婚育状况研究

发布时间：2018-07-09 10:38

本文选题：精神分裂症 + 婚姻　；参考：《泸州医学院》2014年硕士论文

【摘要】：目的：了解婚姻状况对于精神分裂症患者疾病和社会功能恢复的影响，同时，对已婚精神分裂症患者的生育状况进行调查。方法：采用北京大学精神卫生研究所提供的精神分裂症患者婚姻、生育状况调查问卷，由经过统一培训的精神科医生对四川精神卫生中心门诊的134例精神分裂症患者进行问卷调查。结果：（1）单身组的比婚姻组的疾病情况严重，女性单身组比婚姻组的治疗依从性差；（2）社会功能缺陷筛选量表（SDSS）得分可以看出单身组比婚姻组在婚姻职能、父母职能、社会性退缩、家庭外的社会活动、家庭内活动过少、家庭职能、个人生活自理、对外界的兴趣和关心、责任心和计划性方面差，而男性单身组比婚姻组在婚姻职能，父母职能，家庭内活动过少，家庭职能，责任心和计划性方面差，女性单身组比婚姻组在婚姻职能，父母职能，对外界的兴趣，责任心和计划性方面差（3）患者和家属对于继续生育问题上50%以上都愿意继续生，，对于精神科相关保健咨询，只有42.9%希望得到这方面的知识，而在生育的人群中得到相关保健咨询的只有15.5%。结论：已婚并且家庭关系比较稳定的精神分裂症患者,其社会功能恢复要好于处于单身状态下的精神分裂症患者。在男性患者的社会功能恢复与女性患者的社会功能恢复的侧重点是有不同的，对社区里的患者社会功能恢复的监测应该男女分别对待。精神分裂症患者的生育有遗传风险和致畸风险，生育需要加强产检，很多精神分裂症患者缺乏精神科的相关生育保健知识，缺乏精神分裂症患者的生育的相关知识，未来我们应该加强对于精神分裂症患者的关于生育保健的相关知识的宣教。
[Abstract]:Objective: to investigate the influence of marital status on the recovery of social function and disease in schizophrenic patients. Methods: a questionnaire was used to investigate the marital and fertility status of schizophrenic patients provided by the Institute of Mental Health of Peking University. A questionnaire survey was conducted among 134 schizophrenic patients in Sichuan Mental Health Center. Results: (1) the disease of single group was more serious than that of marriage group, the treatment compliance of single group was worse than that of marriage group, (2) the score of SDSS showed that single group had more marital function and parental function than marriage group. Social withdrawal, social activities outside the family, too little activity within the family, family functions, self-care in personal life, interest and concern for the outside world, responsibility and planning, while male single groups have more marital and parental functions than marriage groups. Poor family activities, family functions, responsibility and planning. Single women are more interested in marriage, parenthood, and the outside world than in marriage. Poor sense of responsibility and planning (3) more than 50% of patients and their families are willing to continue to have children, and only 42.9% of patients and family members wish to acquire knowledge of this aspect for psychiatric related health advice. Only 15. 5 percent of those who gave birth received health advice. Conclusion: the recovery of social function of schizophrenic patients who are married and have stable family relationship is better than that of schizophrenic patients who are single. The emphasis of social function recovery in male patients is different from that in female patients, and the monitoring of social function recovery in the community should be treated separately by men and women. There are genetic risks and teratogenic risks in the reproduction of schizophrenic patients. Birth testing needs to be strengthened. Many schizophrenic patients lack the knowledge of relevant reproductive health care in psychiatric departments and related knowledge of fertility in schizophrenic patients. In the future, we should strengthen the education on reproductive health of schizophrenic patients.
【学位授予单位】：泸州医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R749.3

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