摘要
目的分析北京市怀柔区精神分裂症患者出院后1年内再住院相关风险因素。方法采用回顾性研究方法收集175例出院精神分裂症患者1年内再住院的临床资料,对年龄、性别、婚姻、就业、照顾者关系、医疗保险、住院时间、既往住院次数、住院前自知力、住院前严重精神疾病风险评估、入院前服药依从性进行单因素和多因素Cox回归模型分析。结果中位再住院时间183.43 d,1年内再次住院患者42例(24.45%),未再住院123例(75.55%),拒访、失访、更换联系方式、回答信息不完整等因素共排除5例。单因素分析结果显示,依从性、重性精神疾病危险评估为患者再住院的影响因素,差异有统计学意义(P<0.05),性别、年龄、婚姻、就业、照顾者关系、医疗保险、自知力、住院时间、住院次数对1年内再次住院无影响,差异无统计学意义(P>0.05)。多因素Cox回归模型分析显示,重性精神疾病危险性分级≥1级(OR=2.363,95%CI 1.223~4.566,P=0.010)、治疗依从性差(OR=3.081,95%CI 1.423~6.671,P=0.004)为影响患者1年内再住院的独立危险因素。结论重性精神疾病危险性分级≥1级、治疗依从性差为影响患者1年内再住院的独立危险因素。
Objective To analyze the risk factors related to rehospitalization of schizophrenic patients within1 year after discharge in Huairou district,Beijing.Methods The clinical data of 175 patients with schizophrenia who were discharged from the hospital within 1 year were retrospectively collected.Univariate and multivariate Cox regression models were used to analyze age,gender,marriage,employment,caregiver relationship,medical insurance,length of stay,number of previous hospitalizations,self-awareness before hospitalization,risk assessment of severe mental illness before hospitalization,and medication compliance before hospitalization.Results The median length of time until re-hospitalization was 183.43 days.Forty-two of175 patients(24.45%)were re-hospitalized within 1 year,123 patients(75.55%)were not re-hospitalized,and 5 patients were excluded due to rejection,lost to follow-up,change of contact information,incomplete questionnaire answers,etc.The results of univariate analysis showed that compliance,risk assessment of major mental illness,and previous hospitalizations were factors that influenced rehospitalization(P<0.05),while gender,age,marriage,employment,caregiver relationship,medical insurance,self-awareness,and length of hospitalization had no influence on rehospitalization within 1 year(P>0.05).Multivariate Cox regression model analysis showed that a risk of severe mental illness grade≥1(OR=2.363,95%CI 1.223-4.566,P=0.010)and poor treatment compliance(OR=3.081,95%CI 1.423-6.671,P=0.004)were independent factors affecting rehospitalization within 1 year.Conclusion A risk of severe mental illness grade≥1and poor treatment compliance are independent risk factors for rehospitalization of patients with schizophrenia within 1 year.
作者
王宏杰
朱陵群
张玉侠
孙艳平
谭立萍
马超
WANG Hong-jie;ZHU Ling-qun;ZHANG Yu-xia;SUN Yan-ping;TAN Li-ping;MA Chao(Department of Psychiatry,Beijing Huairou Anjia Hospital,Beijing 101408,China;不详)
出处
《慢性病学杂志》
2022年第11期1682-1685,共4页
Chronic Pathematology Journal
基金
北京市怀柔区卫生健康委员会基金(2018-B-003)
关键词
精神分裂症
风险因素
再住院
Schizophrenia
Risk factors
Rehospitalization
