中国健康心理学杂志2017，Vol.25Issue(6)：801-805,5.DOI:10.13342/j.cnki.cjhp.2017.06.001
长期住院精神分裂症患者病情及社会支持状况
State of Illness and Social Support in Long-term In-patients with Schizophrenia
摘要
Abstract
Objective:To understand the state of illness and social support in long-term in-patients with schizo-phrenia.Methods:We aimed to understand the current situation of long - term in- patients with schizophrenia by searching the medical records and assessing with some questionnaires.Firstly,we obtained demographic data,course of illness,the situation of physical disease and related treatments etc.by searching the medical records.At the same time,Positive and Negative Syndrome Scale(PANSS)and Clinical Global Impression(CGI)were used to assess the severity of disease.Secondly,we used the Personal and Social Performance scale(PSP)to assess the social function of patients.Meanwhile,the Social Support Rating Scale(SSRS)and a self-developed questionnaire were used to investi-gate the situation of social support of patients and their satisfaction with family members'visits.Results:We collected 77 patients(39 males and 38 females),and their average age was (58.09 ± 8.93 )years.It was worth noticing that 77.92% of patients were unmarried or divorced(with 45.45% unmarried and 32.47% divorced respectively).The mean of PANSS total score was (83.36 ± 17.27 ),with positive symptom (19.33 ± 8.01 ),and negative symptoms (21.74±6.13).The mean CGI score was (5.08 ± 1.07).All 77 patients had comorbid physical disease,with a mean number of (7.79±3.86).The digestive system disease was the most prevalent physical comorbid disease with a prev-alence of 90.91%,followed by endocrine nutritional and metabolic disease and circulatory system disease(76.62% for both).The prevalence of nervous system disease was 57.14%,and the prevalence of musculoskeletal system and con-nective tissue disease was 48.05%.Further analyses showed that the most prevalent disease was constipation (66.23% ),followed by hyperlipidemia (49.35%),fatty liver disease (46.75%)and extrapyramidal syndrome (40.26%).As for medication,all patients took antipsychotic medications,with 44.16% of the patients took one type of antipsychotics,51.95% of the patients took two types of antipsychotics,and 3.9% of the patients took three types of antipsychotics.Seventy- six patients(98.70%)took drugs for physical disease combining with antipsychotics.In terms of social support and social function,the mean total score of SSRS and PSP were (19.81±4.73)and (4.73 ± 16.43).And 61.04% of the patients were not satisfied with their family members'visits.Conclusion:Long-term in-patients with schizophrenia are usually in old age and poor marital status.They have diverse psychiatric symptoms including both negative and positive symptoms.Combined use of antipsychotics and other common psychiatric medi-cations are common.With the high prevalence of various physical diseases,the combined use of medicines for physical disease is also common.Importantly,patients have not enough visits from their family members,thus they have poor social support.关键词
住院病人/精神分裂症/探视/社会支持,社会功能Key words
In-patients/Schizophrenia/Visit/Social support/Social function分类
医药卫生引用本文复制引用
甘明远,汪毅,刘雅君,吴宇泽,李丽,吕梦涵,潘颖娜..长期住院精神分裂症患者病情及社会支持状况[J].中国健康心理学杂志,2017,25(6):801-805,5.基金项目
北京市科技计划首都临床特色应用研究(编号:Z141107002514155 （）
Z151100004015149) （）
北京回龙观医院龙跃计划项目(编号:2014LYZD-06) （编号:2014LYZD-06）
