| 杨新,赵桂军,须琼英,何佩,郭丽蓉,许媛美,陈彦君,冉继军,胡艳.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[J].四川精神卫生杂志,2022,35(3):234-240.Yang Xin,Zhao Guijun,Xu Qiongying,He Pei,Guo Lirong,Xu Yuanmei,Chen Yanjun,Ran Jijun,Hu Yan,Social support status and influencing factors among schizophrenics in remission in Northeast Sichuan[J].SICHUAN MENTAL HEALTH,2022,35(3):234-240 |
| 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 |
| Social support status and influencing factors among schizophrenics in remission in Northeast Sichuan |
| 投稿时间：2021-12-21 |
| DOI：10.11886/scjsws20211221002 |
| 中文关键词: 精神分裂症 社会支持 影响因素 医保二次报销 |
| 英文关键词:Schizophrenia Social support Influencing factors Second round medical insurance reimbursement |
| 基金项目:四川省基层卫生事业发展研究中心一般项目（项目名称：精神分裂症患者社会支持和社会福利状况调查及应对策略分析，项目编号：SWFZ19-Y-36）；广元市科技局指导性科技计划项目（项目名称：广元市严重精神障碍患者的社会支持和照管负担的现状调查，项目编号：19RKX0033 ） |
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| 中文摘要: |
| 目的 调查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，为改善其社会支持提供思路。方法 选取2020年5月-9月在广元市、巴中市、达州市精神疾病防治机构就诊的符合《国际疾病分类（第10版）》（ICD-10）缓解期精神分裂症诊断标准的患者533例为调查对象，采用自编人口学及临床资料调查表和社会支持评定量表（SSRS）进行评定。分析缓解期精神分裂症患者社会支持现状及影响因素，特别分析医保二次报销对其社会支持度的影响。结果 ①缓解期精神分裂症患者SSRS总评分及客观支持、主观支持、对支持的利用度评分均低于国内常模（t=5.065~30.382，P均<0.01）；②单因素分析显示，女性（t=-3.632）、退休（F=5.951）、已婚（F=5.951）、主要照料者为配偶（F=23.841）、家庭年收入>5 000元（F=15.892）、有经济收入（t=4.083）、门诊或互联网医院复诊（F=3.954）的患者，SSRS总评分更高（P<0.05或0.01）；③医保二次报销组SSRS总评分及各维度评分均高于非医保二次报销组（t=10.195~25.103，P均<0.01）；④多重线性回归分析显示，性别、工作情况、婚姻状况、主要照料者、家庭年收入、患者经济收入、复诊情况和医保二次报销情况是缓解期精神分裂症患者社会支持状况的影响因素（β=0.201~2.115，P<0.05或0.01）。结论 川东北地区缓解期精神分裂症患者社会支持度低于全国水平；性别、工作情况、婚姻状况、照料者、家庭及患者经济收入、复诊情况以及医保二次报销可能会影响患者社会支持度，医保二次报销可能有助于改善患者的社会支持状况。 |
| 英文摘要: |
| Objective To investigate the social support status and influencing factors of schizophrenics in remission in Northeast Sichuan， and to provide ideas for improving their social support.Methods From 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.Results ①The 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）.Conclusion The 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. |
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