CAJ | 학술논문

背景:精神分裂症患者延误治疗的情况普遍存在,给疾病的治疗和康复带来了很多问题.目的:分析精神分裂症患者延误治疗的影响因素.设计:以精神分裂症患者为观察对象的横断面研究.单位:新乡医学院第二附属医院.对象:全部病例选自新乡医学院第二附属医院某病区2005-01/06住院的精神分裂症患者96例.其中男52例,女44例,年龄16～55岁,平均(32.7±12.3)岁;初中以下(包含初中)学历54例,高中以上(包含高中)42例.方法:采用自制的调查表,对每例患者的基本临床资料进行详细的凋查记录,内容有:性别、婚否、文化程度、起病形式、家庭住址、家庭环境、经济状况、家族史等,并将它们详细分类处理.调查每个类别患者延误治疗情况(精神病患者在出现精神症状到接受恰当的治疗的时间超过1年为延误治疗).主要观察指标:延误治疗率,相关因素发生频率.结果:96例患者中延误治疗60例,延误治疗率为62.5%.对延误治疗影响因素logistic回归分析显示,文化程度、家族史、起病形式、经济状况进入了回归方程,标准回归系数分别为0.332 1,0.210 1,0.190 3,0.101 2.结论:精神分裂症患者的文化程度、家族史、起病形式、经济状况是延误治疗的危险因素,加强对这些因素的认识并进行早期干预对减少延误治疗率有重要作用.
배경:정신분렬증환자연오치료적정황보편존재,급질병적치료화강복대래료흔다문제.목적:분석정신분렬증환자연오치료적영향인소.설계:이정신분렬증환자위관찰대상적횡단면연구.단위:신향의학원제이부속의원.대상:전부병례선자신향의학원제이부속의원모병구2005-01/06주원적정신분렬증환자96례.기중남52례,녀44례,년령16～55세,평균(32.7±12.3)세;초중이하(포함초중)학력54례,고중이상(포함고중)42례.방법:채용자제적조사표,대매례환자적기본림상자료진행상세적조사기록,내용유:성별、혼부、문화정도、기병형식、가정주지、가정배경、경제상황、가족사등,병장타문상세분류처리.조사매개유별환자연오치료정황(정신병환자재출현정신증상도접수흡당적치료적시간초과1년위연오치료).주요관찰지표:연오치료솔,상관인소발생빈솔.결과:96례환자중연오치료60례,연오치료솔위62.5%.대연오치료영향인소logistic회귀분석현시,문화정도、가족사、기병형식、경제상황진입료회귀방정,표준회귀계수분별위0.332 1,0.210 1,0.190 3,0.101 2.결론:정신분렬증환자적문화정도、가족사、기병형식、경제상황시연오치료적위험인소,가강대저사인소적인식병진행조기간예대감소연오치료솔유중요작용.
BACKGROUND:Delayed therapy widely occurs in patients with dementia praecox;therefore,it brings a series of difficulties for clinical treatment and rehabilitation.OBJECTIVE:To analyze the influential factors of delayed therapy in patients with dementia praecox.DESIGN:Cross-sectional study based on patients with dementia praecox.SETTING:The Second Affiliated Hospital of Xinxiang Medical College.PARTICIPANTS:A total of 96 patients with dementia praecox,including 52 males and 44 females,were selected from the Second Affiliated Hospital of Xinxiang Medical College from January to June 2005.Their ages ranged from 16 to 55 years and the mean age was (32.7±12.3) years.Among them,54 patients had middle-school education and 42 patients had high-school education.METHODS:A domestic inventory was used to carefully record basically clinical data of each patient.and the inventory included sex,marriage status,educational level,attack styles,home address,home environment,economic status,family history,etc.All data were classified and analyzed in details.In addition,condition of delayed therapy,which determined as the duration over 1 year from onset of psychiatric symptoms to accepted treatment,in each classification was surveyed gradually.MAIN OUTCOME MEASURES:Delayed therapeutic rate and occurent rate of related factors.RESULTS:Among 96 patients,60 patients had delayed therapy,and the delayed therapeutic rate was 62.5%.Influential factors of delayed therapy:Logistic regression analysis demonstrated that regression equation was involved in educational level,family history,attack style and economic status.Meanwhile,the standard regression coefficient was 0.332 1,0.210 1,0.190 3 and 0.101 2. CONCLUSION:Educationallevel,family history,attack style and economic status of patients with dementia praecox are risk factors of delayed therapy. It is of importance for strengthening these factors to interfere and reduce delayed therapeutic rate at an early phase.