本文關(guān)鍵詞： 藏族 精神分裂癥 精神疾病未治期 影響因素　出處：《中國(guó)神經(jīng)精神疾病雜志》2016年03期 　論文類(lèi)型：期刊論文

【摘要】：目的探討藏族精神分裂癥患者精神病未治期(duration of untreated psychosis,DUP)的影響因素。方法采用精神分裂癥患者精神衛(wèi)生服務(wù)利用調(diào)查問(wèn)卷及精神分裂癥首發(fā)癥狀評(píng)定量表對(duì)188例藏族精神分裂癥患者的社會(huì)人口學(xué)資料、精神疾病家族史、家庭類(lèi)型、起病形式、醫(yī)療付款方式、居住地、自評(píng)家庭收入水平、首發(fā)癥狀出現(xiàn)的時(shí)間等進(jìn)行調(diào)查,分析DUP影響因素。結(jié)果患者DUP呈偏態(tài)分布,中位數(shù)375 d(QL=4 d,QU=1661 d)。將患者分為短DUP組(DUP≤375 d)90例和長(zhǎng)DUP組(DUP375 d)98例,不同DUP組患者的起病形式、婚姻狀況、文化程度、家庭類(lèi)型、居住地的組間差異有統(tǒng)計(jì)學(xué)意義(P0.05)。DUP影響因素的logistic回歸分析顯示,結(jié)構(gòu)缺失的家庭(OR=2.340,95%CI:1.130~4.847,P=0.022)、慢性起病(OR=2.136,95%CI:1.172~3.891,P=0.013)、居住在農(nóng)牧區(qū)(OR=2.239,95%CI:1.097~4.571,P=0.027)與長(zhǎng)DUP相關(guān)聯(lián)。結(jié)論藏族精神分裂癥DUP較長(zhǎng),受多種因素影響,主要的危險(xiǎn)因素有結(jié)構(gòu)缺失的家庭、慢性起病、居住在農(nóng)牧區(qū)。
[Abstract]:Objective to investigate the influencing factors of duration of untreated psychosis (DUPU) in Tibetan patients with schizophrenia during the untreatable period. Methods the questionnaire of mental health service and the first symptom rating scale of schizophrenia were used to evaluate 188 cases of schizophrenia. Social and demographic data of ethnic schizophrenic patients, Family history of mental illness, family type, onset form, medical payment, residence, income level of self-rated family, time of onset of initial symptoms and so on were investigated, and the influencing factors of DUP were analyzed. Results the DUP of the patients was skewed. The patients were divided into short DUP group (n = 90) and long DUP group (n = 98). The onset, marital status, educational level and family type of patients with DUP were analyzed. The logistic regression analysis of the influential factors of P0.05n.DUP in the living place showed that the families with missing structure had a relationship with the long DUP. Conclusion the DUP of schizophrenia is longer and affected by many factors, that is, the chronic onset of disease is 2.1323.891P0.0133.891P0.013131.living in the agricultural and pastoral areas, living in 2.23995CI1.0974.571P0.027). Conclusion the DUP of schizophrenia is longer and affected by many factors. The main risk factors are dysfunctional families, chronic onset, and living in farming and pastoral areas.
【作者單位】： 青海省第三人民醫(yī)院社會(huì)精神衛(wèi)生防治康復(fù)科;北京大學(xué)精神衛(wèi)生研究所;
【基金】：青海省醫(yī)藥衛(wèi)生科技項(xiàng)目基金資助(編號(hào):2015-50)
【分類(lèi)號(hào)】：R749.3

【相似文獻(xiàn)】

相關(guān)期刊論文 前5條

1 姬明麗,千智斌;氧自由基在低血容量休克難治期中的作用[J];齊齊哈爾醫(yī)學(xué)院學(xué)報(bào);2001年07期

2 楊英;楊毅;;心理干預(yù)對(duì)養(yǎng)治期精神分裂癥患者負(fù)性情緒的影響[J];中國(guó)民康醫(yī)學(xué);2010年24期

3 吳翔;周利群;何志嵩;李學(xué)松;宋剛;張爭(zhēng);;前列腺癌內(nèi)分泌治療進(jìn)展至激素難治期危險(xiǎn)因素分析[J];中華臨床醫(yī)師雜志(電子版);2010年12期

4 程國(guó)珍;;關(guān)于學(xué)生近視眼最佳防治期的研究[J];中國(guó)學(xué)校衛(wèi)生;1991年02期

5 ;[J];;年期

，

本文編號(hào)：1545709