中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2012年
11期
1029-1031
,共3页
重性精神疾病%暴力行为%危险性评估%Logistic回归分析
重性精神疾病%暴力行為%危險性評估%Logistic迴歸分析
중성정신질병%폭역행위%위험성평고%Logistic회귀분석
Severe mental illness%Violence%Risk assessment%Logistic regression analysis
目的 对社区重性精神疾病患者暴力行为的危险性等级进行评估,并分析影响患者发生暴力行为的相关因素.方法 由精神专科医院医生与社区民警、残联工作人员、社区医生、居委会或村委等相关人员成立重性精神疾病防治小组,对501例社区重性精神疾病患者用暴力行为危险性评估表进行评估,同时对一般人口学、病史及暴力行为史资料进行调查；应用Logistic回归法分析影响患者发生暴力行为的相关因素.结果 501例患者中危险性等级0级124例,1级165例,2级118例,3级59例,4级28例,5级7例；Logistic回归分析结果得出精神分裂症(OR值4.139)、不服药(OR值6.883)、病情不稳定(OR值234.534)及既往暴力行为次数(OR值3.457)4个危险因素(P＜0.05),Logistic回归方程为:Logit(有严重暴力行为)=-8.511 +1.420(精神分裂症)+1.929(不服药)+5.458(病情不稳定)+1.241(既往暴力行为次数).结论 暴力行为危险性等级评估结果及危险因素对重性精神疾病管理具有指导意义.
目的 對社區重性精神疾病患者暴力行為的危險性等級進行評估,併分析影響患者髮生暴力行為的相關因素.方法 由精神專科醫院醫生與社區民警、殘聯工作人員、社區醫生、居委會或村委等相關人員成立重性精神疾病防治小組,對501例社區重性精神疾病患者用暴力行為危險性評估錶進行評估,同時對一般人口學、病史及暴力行為史資料進行調查；應用Logistic迴歸法分析影響患者髮生暴力行為的相關因素.結果 501例患者中危險性等級0級124例,1級165例,2級118例,3級59例,4級28例,5級7例；Logistic迴歸分析結果得齣精神分裂癥(OR值4.139)、不服藥(OR值6.883)、病情不穩定(OR值234.534)及既往暴力行為次數(OR值3.457)4箇危險因素(P＜0.05),Logistic迴歸方程為:Logit(有嚴重暴力行為)=-8.511 +1.420(精神分裂癥)+1.929(不服藥)+5.458(病情不穩定)+1.241(既往暴力行為次數).結論 暴力行為危險性等級評估結果及危險因素對重性精神疾病管理具有指導意義.
목적 대사구중성정신질병환자폭역행위적위험성등급진행평고,병분석영향환자발생폭역행위적상관인소.방법 유정신전과의원의생여사구민경、잔련공작인원、사구의생、거위회혹촌위등상관인원성립중성정신질병방치소조,대501례사구중성정신질병환자용폭역행위위험성평고표진행평고,동시대일반인구학、병사급폭역행위사자료진행조사；응용Logistic회귀법분석영향환자발생폭역행위적상관인소.결과 501례환자중위험성등급0급124례,1급165례,2급118례,3급59례,4급28례,5급7례；Logistic회귀분석결과득출정신분렬증(OR치4.139)、불복약(OR치6.883)、병정불은정(OR치234.534)급기왕폭역행위차수(OR치3.457)4개위험인소(P＜0.05),Logistic회귀방정위:Logit(유엄중폭역행위)=-8.511 +1.420(정신분렬증)+1.929(불복약)+5.458(병정불은정)+1.241(기왕폭역행위차수).결론 폭역행위위험성등급평고결과급위험인소대중성정신질병관리구유지도의의.
Objective To assess the violence risk levels of the community patients with severe mental illness and Analyze the associated factors.Methods A working group composed of psychiatrists,community police,FIMITIC staff,community physicians,neighborhood or village committee members was established.501 community patients with severe mental illness were evaluated with Violence Risk Assessment Scale by working group.While the data of the general demograpbic,medical history and violence history was investigated.Logistic regression analysis was used to explore the factors associated with violence.Results In 501 patients,risk levels of grade 0:124cases (24.8％),grade 1:165 cases (32.9％),grade 2:118 cases (23.5％),grade 3:59 cases (11.8％),grade 4:28 cases (5.6％) and grade 5:7 cases (1.4％).Logistic regression analysis showed four significant risk factors,which were schizophrenia (OR 4.139),no taking medicine (OR 6.883),unstable condition (OR 234.534) the number of previous violence(OR 3.457) (P ＜ 0.05).Logistic regression equation:Logit (severe violence) =-8.511 + 1.420 (schizophrenia) + 1.929 (no taking medicine) + 5.458 (unstable condition) +1.241 (the number of previous violence).Conclusion The results of violence risk assessment and risk factors have directive significance for management of community patients with severe mental illness.
