Status and impact factors of mental symptoms in schizophrenics at home in Jinshan District of Shanghai
10.19428/j.cnki.sjpm.2020.19576
- VernacularTitle:上海市金山区居家精神分裂症患者精神症状现况及其影响因素分析
- Author:
Lian-lian NIE
1
;
Sheng-qiong PAN
;
Long-hui WU
Author Information
1. Zhujing Community Health Service Center of Jinshan District, Shanghai 201599, China
- Publication Type:Research Article
- Keywords:
home schizophrenia;
mental symptoms;
influencing factors
- From:
Shanghai Journal of Preventive Medicine
2020;32(7):587-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the current status of mental symptoms and related influencing factors in patients with schizophrenia, and to provide reference for helping patients achieve better home rehabilitation. Methods Cluster extraction was done of 371 home schizophrenia patients registered in the community, and follow-up surveys were carried out for general demographic data, family status, current status of the disease, and treatment status.Univariate and multivariate logistic regression analysis was used for each factor in affecting the patient′s mental symptoms. Results All of the 371 patients completed follow-up surveys, and 121 patients with positive psychotic symptoms (positive rate 32.61%).Univariate analysis showed that differences in the economic situation, course of illness(years), risk behavior level, self-knowledge, hospitalization and working status were statistically significant (P < 0.05), while differences in gender, age, education level, marital status, disease course, family history were not.And there was no significant difference in the disability identification, monitoring status, medication compliance, and free medication (P>0.05).Multivariate logistic analysis showed that complete self-knowledge(OR=0.488, 95%CI:0.284-0.838), and participation in work(OR=0.469, 95%CI:0.257-0.857) were protection factors (P < 0.05). Conclusion The service management of patients with schizophrenia at home should be strengthened, regular follow-up and nursing care mechanisms should be improved, and patients with positive mental symptoms should be actively mobilized for hospitalized treatment.Improving the patient′s self-knowledge and helping patients improve their ability to work and work is the key to preventing mental symptoms in patients with schizophrenia.
