中国康复理论与实践Issue(4)：378-381,4.DOI:10.3969/j.issn.1006-9771.2014.04.019
精神分裂症复发再入院影响因素及管理治疗研究
Factors Related with Schizophrenia Relapse and Management
摘要
Abstract
Objective To explore the factors related with relapse of patients with schizophrenia, and to assess the effect of management on this population. Methods 368 patients who were first episode and hospitalization in 2007 were recruited, and investigated with the Live Events Scale (LES), Social Support Rating Scale (SSRS). They were divided into control group (only antipsychotic treatment, n=184) and management group (severe mental illness management, n=184) and accepted the management for 5 years. Results The single factor regres-sion showed that age, marriage and family history were not related with schizophrenia relapse (P>0.05). Gender, duration of untreated psy-chosis (DUP) and negative life events were risk factors of relapse (P<0.05);Education, medication adherence and social support were protec-tive factors of relapse (P<0.05). Multivariate regression analysis showed that medication adherence, social support and negative life events were the main factors related with relapse (P<0.05). The rate of relapse was lower in the management group than in the control group (P<0.05). Conclusion Medication adherence, social support and negative life events are the main factors related with relapse. Management on the schizophrenia is one of the most important ways to reduce schizophrenia relapse.关键词
精神分裂症/复发再入院/重性精神疾病管理治疗/心理社会干预Key words
schizophrenia/relapse/severe mental illness management/psychosocial intervention分类
医药卫生引用本文复制引用
吴洪军,张伟娟,徐丽萍,周先华,施媛媛,丁跃庆..精神分裂症复发再入院影响因素及管理治疗研究[J].中国康复理论与实践,2014,(4):378-381,4.基金项目
江西省卫生厅2012年度科技计划(No.20123193)。 （No.20123193）
