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居家精神分裂症患者攻击行为发生的影响因素调查
吴小容刘海波申中华
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摘要:
目的 初步调查居家精神分裂症患者攻击行为发生的影响因素。方法 2017 年7 月至 2018 年11 月在重庆市南岸区选取发生攻击行为的居家精神分裂症患者253 例纳入本研究,另选取无攻 击行为的稳定期居家精神分裂症患者2 424 例作为对照组。采用自知力与治疗态度问卷(ITAQ)、修订版 外显攻击行为量表(MOAS)进行调查。结果 (1)两组患者在年龄、受教育程度、首发年龄、延治期、住 院次数、自知力、服药状况上差异有统计学意义。(2)多元线性回归显示,年轻患者、首次发病年龄较早、 文化程度低等是攻击行为的影响因素。结论 居家精神分裂症患者攻击行为发生与多种因素有关,要 加强对年轻、首次发病较早、文化程度低的精神分裂症患者的监护。
关键词:  精神分裂症  攻击
DOI:10.3969/j.issn.1009-6574.2019.04.009
基金项目:重庆市南岸区卫生和计划生育委员会资助项目(2017-16)
Investigation of the influencing factors of aggression in home-based patients with schizophrenia
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Abstract:
Objectives To initially investigate the influencing factors of aggression in home-based patients with schizophrenia. Methods From July 2017 to November 2018, a total of 253 patients with schizophrenia who had aggressive behavior in the Nan'an District of Chongqing were included in the study, and 2 424 patients with stable schizophrenia without aggressive behavior were selected as the control group. The survey was conducted using the Insight and Treatment Attitude Questionnaire( ITAQ) and the Modified Overt Aggression Scale( MOAS). Results (1) There were significant differences in age, education level, onset age, the prolonged period of treatment, number of hospitalizations, self-knowledge, and medication status between the two groups.( 2) Multiple linear regression showed that young patients, early onset, and low level of education were the influencing factors of aggressive behavior. Conclusions The occurrence of aggression in patients with schizophrenia is related to a variety of factors. It is necessary to strengthen the monitoring of young, early onset and low-education schizophrenia patients.
Key words:  Schizophrenia  Aggression

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