CAJ | 학술논문

目的：了解重性精神疾病患者肇事肇祸情况,旨在为社区干预提供依据。方法：对751例城乡重性精神疾病患者肇事肇祸状况进行了调查分析。结果：重性精神病患者肇事肇祸(三级以上)发生率为9.05%,肇事肇祸发生率与患者的性别(x2=10.57,P<0.01)、文化程度(x2=10.88,P<0.01)、和监护人类型(x2=16.89,P<0.01)、疾病类型(x2=10.80,P<0.01)、病程(x2=11.39,P<0.01)及服药依从性(x2=19.81,P<0.01)呈显著相关,与患者的年龄(x2=0.80,P>0.05)、民族(x2=0.443,P>0.05)、婚姻状况(x2=1.99,P>0.05)无关。结论：肇事肇祸精神病患者以男性、文化程度较低、诊断为精神分裂症、病程较长、从未就医、服药依从性较差、监护人为患者的兄弟姐妹及其他人者居多。
목적：료해중성정신질병환자조사조화정황,지재위사구간예제공의거。방법：대751례성향중성정신질병환자조사조화상황진행료조사분석。결과：중성정신병환자조사조화(삼급이상)발생솔위9.05%,조사조화발생솔여환자적성별(x2=10.57,P<0.01)、문화정도(x2=10.88,P<0.01)、화감호인류형(x2=16.89,P<0.01)、질병류형(x2=10.80,P<0.01)、병정(x2=11.39,P<0.01)급복약의종성(x2=19.81,P<0.01)정현저상관,여환자적년령(x2=0.80,P>0.05)、민족(x2=0.443,P>0.05)、혼인상황(x2=1.99,P>0.05)무관。결론：조사조화정신병환자이남성、문화정도교저、진단위정신분렬증、병정교장、종미취의、복약의종성교차、감호인위환자적형제저매급기타인자거다。
Objective: To investigate troublemaking conditions for severe mental illness patients so as to provide a basis for community intervention. Methods:The troublemaking conditions of 751 cases of urban and rural individuals with severe mental illness were analyzed. Results:The incidence rate of troublemaking (above level III) of the patients with severe mental illness was 9. 05%, and was significantly correlated with sex (x2=10. 57, P<0. 01), education level (x2=10. 88, P<0. 01), guardian type (x2=16. 89, P<0. 01), type of disease (x2=10. 80, P<0. 01), duration of disease (x2=11. 39, P<0. 01) and drug compliance (x2=19. 81, P<0. 01), but not correlated with the patient's age (x2=0. 80, P>0. 05), nationality (x2= 0. 443, P>0. 05), marital status (x2=1. 99, P>0. 05). Conclusions:The majority troublemaking mental patients are male with low educational level and are diagnosed as schizophrenia with a longer course. They never go to a doctor, medication compliance is poor, and the guardians are their brothers and sisters and other related people.