中国现代医生2023，Vol.61Issue(36)：25-28,4.DOI:10.3969/j.issn.1673-9701.2023.36.007
风险预测模型下住院精神分裂症患者暴力行为的危险因素分析
Risk factors of violence behavior in hospitalized schizophrenics based on risk prediction model
摘要
Abstract
Objective To explore the application of management model based on risk prediction model in hospitalized schizophrenics.Methods 500 schizophrenics hospitalized in the Seventh People's Hospital of Wenzhou from August 2020 to August 2022 were selected and analyzed retrospectively.334 patients were selected,and according to the modified overt aggression scales(MOAS)score after discharge,they were divided into 105 cases of violence behavior group and 229 cases of non violence behavior group.The influencing factors were analyzed and multi-factor regression analysis was carried out to establish the risk prediction model and verify the clinical prediction value of 166 cases with violence behavior.Results The age,family economic status,parenting style,treatment status,intelligence,hospitalization mode,occupation,previous violence,delusion,mental symptoms and irritability of patients in violence behavior group were significantly worse than those in non-violence behavior group,and the difference was statistically significant(P<0.05);Cox multivariate analysis showed that treatment status,intelligence,hospitalization mode,previous violence behavior,delusion,mental symptoms and irritability were independent risk factors for violence behavior in patients with schizophrenia(P<0.05).The area under the receiver operating characteristic(ROC)curve of the risk prediction model for predicting violence behavior in hospitalized schizophrenic patients was 0.941(95%CI:0.051-0.142,P<0.05).When the positive rate of the critical value for predicting the occurrence of violence was≥93.98%,the specificity was 0.915 and the sensitivity was 0.964.Conclusion The risk prediction model based on the treatment status,intelligence,hospitalization style,previous violence behavior,delusion,mental symptoms and irritability can effectively predict the occurrence of violence in schizophrenic inpatients,and has high distinctiveness and sensitivity,which has important guiding significance for clinical intervention.关键词
风险预测模型/管理模式/住院精神分裂症/暴力行为/预测价值Key words
Risk prediction model/Management model/Hospitalized schizophrenia/Violence behavior/Predictive value分类
临床医学引用本文复制引用
徐银锋,王芳,吴玲玲..风险预测模型下住院精神分裂症患者暴力行为的危险因素分析[J].中国现代医生,2023,61(36):25-28,4.基金项目
浙江省温州市科研项目(Y20210507) （Y20210507）
