CAJ | 학술논문

目的:编制社区重性精神病人安全风险评估量表并测试其信度和效度.方法:随机抽取北京市朝阳区8个社区的860名重性精神疾病患者,使用社区重性精神病人安全风险评估量表进行风险评估.通过计算量表的内部一致性信度、评分者信度,各条目与总分的相关系数及探索性因子分析评价量表的信度和效度.结果:①量表的Cronbach α系数为0.86,评分者信度为0.92;②各条目与总分的Spearman相关系数在0.40～0.56之间;③探索性因子分析结果得到4个主要因子,累积贡献率为68.14%,10个条目负荷量在0.60～0.91之间;④高风险病人(量表评分≥35分)中发生轻微滋事者多于低风险病人(11.38%vs1.09%,P<0.001).结论:社区重性精神病人安全风险评估量表具有良好的信度和效度,可以作为社区重性精神病人安全风险度评估的工具在社区中使用.
목적:편제사구중성정신병인안전풍험평고량표병측시기신도화효도.방법:수궤추취북경시조양구8개사구적860명중성정신질병환자,사용사구중성정신병인안전풍험평고량표진행풍험평고.통과계산량표적내부일치성신도、평분자신도,각조목여총분적상관계수급탐색성인자분석평개량표적신도화효도.결과:①량표적Cronbach α계수위0.86,평분자신도위0.92;②각조목여총분적Spearman상관계수재0.40～0.56지간;③탐색성인자분석결과득도4개주요인자,루적공헌솔위68.14%,10개조목부하량재0.60～0.91지간;④고풍험병인(량표평분≥35분)중발생경미자사자다우저풍험병인(11.38%vs1.09%,P<0.001).결론:사구중성정신병인안전풍험평고량표구유량호적신도화효도,가이작위사구중성정신병인안전풍험도평고적공구재사구중사용.
Objective: To develop the Risk Assessment Scale of Severe Psychiatric Patients in Community and test its reliability and validity. Methods: A random sample of 860 severe psychiatric patients, which was selected from 8 communities in Chaoyang District of Beijing, completed the Risk Assessment Scale of Severe Psychiatric Patients in Community. The internal consistency reliability, the observer reliability, and the correlative coefficients between the total and items of the scale were analyzed, and the exploratory factor analysis was conducted. Results: (1) The Cronbach's coefficient of the scale was 0. 86, and the observer coefficient was 0.92. (2) The Spearman correlative coefficients between the total and items ranged from 0.40 ～ 0.56. (3) Exploratory factor analysis showed that the scale had 4 main factors, all of which could account for 68.14 percent of the whole variance, and the ten item loadings ranged from 0. 60 ～0.91. (4) The patient who scored higher than 35 was called high risk patient Causing trouble behavior of high risk patient was obviously higher than others. Conclusion: The results indicate that the Risk Assessment Scale of Severe Psychiatric Patients in Community has good reliability and validity. It can be used to assess the risk of severe psychiatric patients in community.