210例精神分裂症精神残疾及相关因素的调查分析.pdfVIP

• 1136 • 中国健康心理学杂志 2012 年第 20 卷第 8 期 China Journal of Health Psycholo盯 2012 ,Vol 20 ,No. 8 210 例精神分裂症精神残疾及相关因素的调查分析 成王敏①严保平于丽燕付希光崔伟狄亚琴桑文华孙秀丽A E摘要E 目的 评定精神分裂症患者的精神残疾现状及其相关因素。方法 采用自制-般人口学资料调查问卷及 WHO 残疾 评定量表(WHO-DAS 1 )，对来源于河北省精神卫生中心 2009 年 4 月一2010 年 9 月进行精神疾病残疾鉴定的资料齐全的 210 例精神分裂症患者进行评定.结果 精神残疾等级评定以中度(44.8%) ，怒度(34.3% )为主.精神残疾等级与年龄、病程呈 显著的正相关(r=0.191 , 0. 309;P0. 001) 。以 WHO-DAsn 总分为自变量，多回来回归分析显示，只有病程与病情严重程度 呈独立相关。=3.914 ,PO. 00 1)0 以病程豆豆10 年J.t病程10 年的患者比较，WHO-DAS I 总分及理解与交流、身体移动.与 人相处、生活活动、社会参与等国子分均有统计学意义(P0.05) 。结论 精神分裂症的精神残疾随病程的延长而逐渐加重，健 全社区康复体系，可减缓社会功能缺陷， E关键诩】 精神卫生，精神分裂症g 精神残疾g 相关因素 lnvestigation on Mental Disablllties and Related Factors of 210 Patients wlth Schizophrenia. Cheng Yumin , Yan Bao户ing ， Yu Liyan ,et al. HeBei Mental Health Center. Baoding 071000 ,P. R. China [Abstract) Ob如ctive To evaluate mental disabilities and related factors of patien臼 with schizophrenia. Methods A total of 210 patients with schizophrenia ,who were identifíed mental íllness dísabilíty.ín Hebei Provínce Mental Health Center from Apr. 2009 to Sep. 2010 ,were assessed with ínvestigation líst made by self and WHO dísabílity rating scale(WHO- DSA ! ). Results There were moderate(44. 8%) .mild(34. 3% )in mental disability rating. There was a significantly positive correlation between mental dis- ability level and age ,schizophrenia duration(r=0.191 , 0. 309;P0. 001). To WHO-DAS 1 scor臼 for the independent variable , on.ly course and severe d四ease were related to the degree of independence by more Iinear regressíon analysis(t= 3.914 ,PO. 00 1). The patients with less than 10 years schizophrenia were sígnificant!y better than those with more than 10 years ín WHO- DAS B • understanding and commurucation , total body movement , getting along with people , life events and social participation factor (P 0.05). Conc