Social support status and influencing factors among schizophrenics in remission in Northeast Sichuan
10.11886/scjsws20211221002
- VernacularTitle:川东北地区缓解期精神分裂症患者社会支持现状及影响因素
- Author:
Xin YANG
1
;
Guijun ZHAO
1
;
Qiongying XU
1
;
Pei HE
1
;
Lirong GUO
1
;
Yuanmei XU
1
;
Yanjun CHEN
2
;
Jijun RAN
3
;
Yan HU
4
Author Information
1. Guangyuan Mental Health Center， Guangyuan 628001， China
2. Bazhong Mental Health Center， Bazhong 635500， China
3. Xuanhan County Psychiatric Hospital， Dazhou 636150， China
4. Sichuan Second Veterans Hospital， Chongzhou 611200， China
- Publication Type:Journal Article
- Keywords:
Schizophrenia;
Social support;
Influencing factors;
Second round medical insurance reimbursement
- From:
Sichuan Mental Health
2022;35(3):234-240
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the social support status and influencing factors of schizophrenics in remission in Northeast Sichuan， and to provide ideas for improving their social support. MethodsFrom May to September 2020， a total of 533 patients who met the diagnosis criteria of the International Classification of Diseases， tenth edition （ICD-10） for schizophrenics in remission at the mental health institutions in Guangyuan， Bazhong and Dazhou cities were selected for the survey， and patients were assessed by self-made demographic and clinical data inventory and Social Support Rating Scale （SSRS）. Then the social support status of schizophrenic in remission and influencing factors were analyzed， meantime， the impact of the second round reimbursement policy of medical insurance benefits on their social support was addressed particularly. Results①The SSRS total score， objective support， subjective support， and utilization of support scores of schizophrenics in remission were lower than those of the national norm （t=5.065~30.382， P<0.01）. ②Univariate analysis showed that SSRS score was relatively high among patients with female gender （t=-3.632）， retired status （F=5.951）， married status （F=5.951）， spouse as primary caregiver （F=23.841）， annual household income >5 000 yuan （F=15.892）， patient's economic income （t=4.083）， and outpatient or online follow-up （F=3.954）， with statistically significant differences （P<0.05 or 0.01）. ③The total and dimensional scores of SSRS in patients with access to the second round medical insurance reimbursement were significantly higher than those without （t=10.195~25.103， P<0.01）. ④Multiple linear regression analysis denoted that gender， work status， marital status， primary caregivers， annual family income， economic income， follow-up visits and the second round medical insurance reimbursement were the factors influencing social support status of schizophrenics in remission （β=0.201~2.115， P<0.05 or 0.01）. ConclusionThe social support of schizophrenics in remission in Northeast Sichuan is below the national average， furthermore， their social support levels are affected by the gender， work status， marital status， primary caregivers， annual family income， economic income， follow-up visits and the second round medical insurance reimbursement， and the second round medical insurance reimbursement may ameliorate the social support status of patients.
