发病年龄对住院精神分裂症患者社会功能和生活质量的影响.docVIP

发病年龄对住院精神分裂症患者社会功能和生活质量的影响 于文红 李志新 赵静 邵静 北京回龙观医院老年科19病区 北京回龙观医院老年科4病区 北京回龙观医院护理部 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 分析不同发病年龄住院精神分裂症患者社会功能及生活质量的差异,探讨有针对性的护理及康复方案。方法 采用便利抽样法,收集247例住院精神分裂症患者,根据患者的首次发病年龄分为4组:20岁及以下发病组90例,21~25岁发病组77例,26~30岁发病组44例,31岁及以上发病组36例。采用阳性与阴性症状量表(Positive and Negative Symptoms Scale,PANSS)、住院患者护士观察量表(Nurses Observation Scale for Inpatient Evaluation,NOSIE)和精神分裂症患者生活质量量表(Schizophrenia Quality of Life Scale,SQLS)对所有患者的临床症状、社会功能及生活质量进行评估。结果 发病年龄最小的患者组阴性症状显著重于发病年龄最晚的患者组;4组间NOSIE量表的整洁因子分差异具有统计学意义(P0.01),表现为发病年龄越小,得分越低,NOSIE量表总积极分存在类似变化;SQLS的症状分量表分在4组间差异有统计学意义(P0.05),其中,发病年龄最小的患者组得分显著高于发病年龄较晚的两组(P0.05),SQLS的心理分量表分存在类似组间差异;NOSIE整洁因子、总积极分与SQLS症状、心理分量表分均存在显著相关(P0.05)。结论 住院精神分裂症患者发病年龄越小,社会功能中个人整洁度越差,生活质量越低。日常护理中应加强这类患者的个人卫生,提高其生活质量。 关键词： 精神分裂症; 发病年龄; 生活质量; 护理; 作者简介：于文红:女,本科,主管护师,E-mail:yuwenhong@126.com 收稿日期：2014-10-17 基金：北京市医管局重点医学专业发展计划(ZYLX201409) The impact of age of onset on social function and quality of life in patients with schizophrenia YU Wen-hong LI Zhi-xin ZHAO Jing SHAO Jing Abstract： Objective To examine the impact of age of onset on social function and quality of life in inpatients with schizophrenia,and to explore targeted nursing and rehabilitation strategies. Methods A total of 247 inpatients with schizophrenia were recruited using convenience sampling method in this study. According to the age of onset,all cases were divided into four groups:younger than 20 years old(n=90),21~25 years old(n=77),26~30 years old(n =44),and older than 30 years old(n =36). Positive and Negative Symptoms Scale(PANSS),Nurses Observation Scale for Inpatient Evaluation(NOSIE),and Schizophrenia Quality of Life Scale(SQLS) were used to evaluate patients clinical symptoms,social function and quality of life. Results The negative symptom score in patients with earliest onset schizophrenia was significantly higher than that of patients with latest onset schizophrenia(P0.05). Significant differences were foun