| 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 |
| Social support status and influencing factors among schizophrenics in remission in Northeast Sichuan |
DOI：10.11886/scjsws20211221002 |
| English keywords:Schizophrenia Social support Influencing factors Second round medical insurance reimbursement |
| Fund projects: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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| 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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