精神分裂症患者回归社会的影响因素分析

摘要

目的：探讨首发精神分裂症患者回归社会的影响因素。方法收集2006～2010年首次住院的精神分裂症患者111例，采用自制一般情况调查表、社会功能缺陷量表（SDSS）及大体评定量表（GAS），对其进行随访评估。结果经多因素回归分析，影响首发精神分裂症患者回归社会的主要因素有5个：发病年龄、起病形式、首次住院疗效、维持服药时间和家庭社会支持程度（P＜0.05）。结论发病年龄晚，急性起病，首次住院疗效好，坚持长期治疗，有充分的家庭社会支持有利于患者回归社会。%Objective To study the related factors impacting the prognosis of schizophrenia.Methods 111 patients with schizophrenia who were in hospitalization from 2006 to 2010 were followed up.The subjects were evaluated with a self-compiled questionnaire,the Global Assessment Scale(GAS), and Social Disability Screening Schedule(SDSS).Results Multiple regression analysis showed that the related factors to prognosis of schizophrenia were onset age,pattern of onset,efficacy of first hospitalization,therapy time and degree of society support(P< 0.05).Conclusion The old onset age,acute onset,better therapeutic effect in the first hospitalization,long-term therapy compliance and enough family support are associated with better prognosis.