北京市丰台区社区精神分裂症患者外显攻击行为及影响因素研究
发布时间：2019-03-25 07:06
【摘要】：目的了解北京市丰台区社区精神分裂症患者的外显攻击行为及影响因素。方法采用典型抽样法选取丰台社区为样本地区,收集2011年5月—2015年5月北京市精神卫生信息管理系统(BMHIMS)中归属于该社区的精神分裂症患者的档案资料,包括人口统计学资料、临床信息及行为相关资料。采用外显攻击行为量表(MOAS)评价患者的外显攻击行为发生情况,以总分=0分为无外显攻击行为,以总分0分为发生外显攻击行为。结果 2011—2015年丰台社区居民的精神分裂症患病率、发病率及精神分裂症患者的外显攻击行为发生率比较,差异有统计学意义(P0.05)。其中,精神分裂症患者的外显攻击行为发生率从2011年的27.1%升高至2015年的35.7%。2015年丰台社区共有BMHIMS在档精神分裂症患者616例,其中220例(35.7%)发生外显攻击行为。是否发生外显攻击行为患者的平均年龄、受教育程度、躯体疾病发生情况、精神残疾发生情况、阳性症状评分、阴性症状评分、一般精神病理学症状评分、服药依从性比较,差异有统计学意义(P0.05)。多元线性回归分析结果显示,受教育程度、躯体疾病发生情况、精神残疾发生情况、阳性症状评分、阴性症状评分、一般精神病理学症状评分、服药依从性是精神分裂症患者MOAS得分的影响因素(P0.05)。结论丰台社区精神分裂症患者的外显攻击行为发生率呈升高趋势;教育程度低,存在躯体疾病、精神残疾,伴有严重阳性症状、阴性症状及一般精神病理学症状,服药依从性差是患者发生外显攻击行为的危险因素。提高患者卫生服务条件、服药依从性,指导患者按照合理剂量科学服药,可在一定程度上避免外显攻击行为的发生。
[Abstract]:Objective to investigate the explicit aggressive behavior and influencing factors of schizophrenia in Fengtai district of Beijing. Methods A typical sampling method was used to select Fengtai community as the sample area. The archives of schizophrenic patients belonging to the community in Beijing Mental Health Information Management system (BMHIMS) from May 2011 to May 2015 were collected. Including demographic data, clinical information and behavior-related data. (MOAS) was used to evaluate the occurrence of explicit aggressive behavior. The total score = 0 was regarded as no explicit aggressive behavior, and the total score of 0 was the occurrence of explicit aggressive behavior. Results from 2011 to 2015, there was a significant difference in the prevalence of schizophrenia, the incidence of schizophrenia and the incidence of explicit aggressive behavior among the residents of Fengtai community (P0.05). Among them, the incidence of explicit aggression in schizophrenic patients increased from 27.1% in 2011 to 35.7% in 2015. In 2015, there were 616 BMHIMS schizophrenic patients in Fengtai community. Among them 220 cases (35.7%) had explicit attack behavior. The average age, education level, physical disease, mental disability, positive symptom score, negative symptom score, general psychopathological symptom score and drug compliance were compared in patients with explicit aggressive behavior. The difference was statistically significant (P0.05). Multiple linear regression analysis showed that education level, physical disease occurrence, mental disability, positive symptom score, negative symptom score, general psychopathology symptom score, Drug compliance was the influencing factor of MOAS score in schizophrenic patients (P0.05). Conclusion the incidence of explicit aggression in patients with schizophrenia in Fengtai community is increasing. Low education level, physical disease, mental disability, severe positive symptoms, negative symptoms and general psychopathological symptoms were the risk factors for explicit aggressive behavior. To improve patients' health service condition, drug compliance and guide patients to take medicine scientifically according to reasonable dosage can avoid the occurrence of explicit aggression to a certain extent.
【作者单位】： 北京市丰台区南苑医院精神科;北京市丰台区丰台社区卫生服务中心;首都医科大学公共卫生学院;
【基金】：首都医学发展科研基金资助项目(2014-3-7053) 丰台区卫生系统科学研究项目(2015-80)
【分类号】：R749.3
[Abstract]:Objective to investigate the explicit aggressive behavior and influencing factors of schizophrenia in Fengtai district of Beijing. Methods A typical sampling method was used to select Fengtai community as the sample area. The archives of schizophrenic patients belonging to the community in Beijing Mental Health Information Management system (BMHIMS) from May 2011 to May 2015 were collected. Including demographic data, clinical information and behavior-related data. (MOAS) was used to evaluate the occurrence of explicit aggressive behavior. The total score = 0 was regarded as no explicit aggressive behavior, and the total score of 0 was the occurrence of explicit aggressive behavior. Results from 2011 to 2015, there was a significant difference in the prevalence of schizophrenia, the incidence of schizophrenia and the incidence of explicit aggressive behavior among the residents of Fengtai community (P0.05). Among them, the incidence of explicit aggression in schizophrenic patients increased from 27.1% in 2011 to 35.7% in 2015. In 2015, there were 616 BMHIMS schizophrenic patients in Fengtai community. Among them 220 cases (35.7%) had explicit attack behavior. The average age, education level, physical disease, mental disability, positive symptom score, negative symptom score, general psychopathological symptom score and drug compliance were compared in patients with explicit aggressive behavior. The difference was statistically significant (P0.05). Multiple linear regression analysis showed that education level, physical disease occurrence, mental disability, positive symptom score, negative symptom score, general psychopathology symptom score, Drug compliance was the influencing factor of MOAS score in schizophrenic patients (P0.05). Conclusion the incidence of explicit aggression in patients with schizophrenia in Fengtai community is increasing. Low education level, physical disease, mental disability, severe positive symptoms, negative symptoms and general psychopathological symptoms were the risk factors for explicit aggressive behavior. To improve patients' health service condition, drug compliance and guide patients to take medicine scientifically according to reasonable dosage can avoid the occurrence of explicit aggression to a certain extent.
【作者单位】： 北京市丰台区南苑医院精神科;北京市丰台区丰台社区卫生服务中心;首都医科大学公共卫生学院;
【基金】：首都医学发展科研基金资助项目(2014-3-7053) 丰台区卫生系统科学研究项目(2015-80)
【分类号】：R749.3
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