Risk factors for violence in schizophrenic patients at onset stage in community
10.3760/cma.j.issn.1674-2907.2019.16.012
- VernacularTitle:社区发病期精神分裂症患者暴力行为的危险因素分析
- Author:
Qionghua YANG
1
;
Hai YI
;
Yuru DU
;
Na HE
Author Information
1. 广东省湛江市第三人民医院社防科 524000
- Keywords:
Schizophrenia;
Community;
Violence;
Risk factors
- From:
Chinese Journal of Modern Nursing
2019;25(16):2029-2035
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To investigate the prevalence, characteristics and influencing factors of violent behaviors in patients with schizophrenia during the onset stage of the disease in the community, and to provide targeted guidance for community and family when delivering care and rehabilitation for the patients. Methods? From March to July in 2018, a total of 235 newly admitted schizophrenic patients in two specialized hospitals and one general hospital in Zhanjiang city were selected by convenience sampling. By the use of the self-designed questionnaire, the main caregivers were investigated directly about the patients＇ general information, patients factors,family factors and violent behaviors. The influences of the patients factors and family factors on the violent behaviors were analyzed. A total of 226 properly filled questionnaires were retrieved. Results? Among the 226 patients, a total of 161 cases (71.24%) committed violence one week before admission in which 129 cases(57.08%) were general attack, and 32 cases (14.16%) were dangerous violence, 65 patients (28.76%) did not committed any violent behaviors. Ordinal Logistic regression analysis showed that the risk factors of the violence were the presence of conduct disorder before illness, previous verbal attacks, destruction of property, or personal attacks against others, as well as emotional vulnerability , verbal stimulation or behavior/action stimulation from surrounding environments(P＜0.05). Harmonious family relations and the main Guardians' good execution of doctors' advice were the protective factors (P＜ 0.05). Conclusions? Patients who have previously had verbal attacks,property damage, physical attacks against others, and who have behavioral disorders before illness should be the focus of community and family care. Creating a harmonious family and rehabilitation environment in community should be an important part of family and community care for schizophrenic patients. Health education of mental illness for patients, primary caregivers and community should be strengthened.
