流浪精神病患者合并躯体疾病的临床特征分析(1)
[摘要] 目的 研究与分析流浪精神病患者合并躯体疾病的临床特征。 方法 选取我院收治流浪精神病患者65例为对象进行研究，根据是否合并发肢体残疾和躯体疾病分为对照组(32例，无)与观察组(33例，是)。采用自制量表对两组基础资料及社会支持情况进行调查。经2个月常规治疗后，采用BPRS评定两组疗效。 结果 观察组社会支持系统比较缺乏，且与对照组相比差异有统计学意义(P<0.05)；观察组BPRS总分为(82.34±8.75)分，与对照组(74.12±7.58)分相比显著较高，且组间比较差异具有统计学意义(P<0.05)。 结论 流浪精神病患者合并躯体疾病的临床特征主要为社会支持系统较差，且治疗后疗效并不理想，因此相关部门必须对其予以重视。
[关键词] 流浪精神病患者；躯体疾病；躯体残疾；临床特征
[中图分类号] R749 [文献标识码] B [文章编号] 1673-9701(2017)30-0084-03
[Abstract] Objective To study and analyze the clinical characteristics of complicated physical diseases in wandering patients with mental illness. Methods 65 wandering patients with mental illness who were admitted to our hospital were selected as the study subjects. According to whether the patients were complicated with physical disability and physical diseases， the patients were divided into control group(32 cases， no) and observation group(33 cases， yes). The self-made scale was used to investigate the basic data and social support of both groups. After 2 months of conventional treatment， BPRS was used to assess the efficacy of the two groups. Results The social support system in the observation group was lacking， and the difference was significant compared with the control group. The difference was statistically significant(P<0.05)； the total score of BPRS in the observation group was(82.34±8.75)， which was statistically higher compared with that in the control group(74.12±7.58)， and the difference between groups was statistically significant(P<0.05). Conclusion The clinical characteristics of wandering patients with mental illness complicated with physical diseases are mainly poor social support system， and the efficacy is not ideal after treatment. Therefore， the relevant departments must pay attention to it.
[Key words] Wandering patients with mental illness； Physical diseases； Physical disability； Clinical characteristics
流浪精神病患者部分是由于毀物、自伤、伤人、四处流浪、影响社会秩序、扰乱交通、社会治安，由群众报警后，警务人员怀疑为精神障碍或者异常并送至医院的患者，大部分患者为救助站送至入院[1-3]。本文选取我院收治流浪精神病患者65例为对象进行研究，根据其是否合并发肢体残疾和躯体疾病分为对照组(32例，无)与观察组(33例，是)，通过采用自制量表以及BPRS评分量表，对两组基础资料、社会支持、治疗效果等情况进行了调查分析，现报道如下。
1 资料与方法
1.1 一般资料
选取我院2016年1月～2017年1月收治流浪精神病患者65例进行研究，根据其是否合并发肢体残疾和躯体疾病分为对照组(32例，无)与观察组(33例，是)。所有患者均满足CCMD-3诊断标准[4]，其中酒精所致精神障碍2例、情感障碍2例、精神发育滞10例、癫痫性精神障碍5例、精神分裂症46例。观察组伴有躯体疾病类型为传染病(结核腹膜炎)1例、皮肤破损及软组织损伤10例、骨折2例、妊娠1例、营养不良(贫血)5例、糖尿病7例、心血管疾病8例、肢体残疾11例。观察组患者中，21例合并有两种躯体疾病，12例既存在肢体残疾，又存在躯体疾病。而对照组患者无肢体残疾及躯体疾病。
1.2 方法
采用自制量表对两组基础资料及社会支持情况进行调查。即在患者入院时、入院后1个月、2个月、3个月时，采用护士用住院患者观察量表、自制的现状健身病检查表等，对患者基本临床特点进行观察记录，然后对观察数据进行一致性检验(r>0.85)。经2个月常规治疗后，采用BPRS评定两组疗效。, 百拇医药(肖志平)
[关键词] 流浪精神病患者；躯体疾病；躯体残疾；临床特征
[中图分类号] R749 [文献标识码] B [文章编号] 1673-9701(2017)30-0084-03
[Abstract] Objective To study and analyze the clinical characteristics of complicated physical diseases in wandering patients with mental illness. Methods 65 wandering patients with mental illness who were admitted to our hospital were selected as the study subjects. According to whether the patients were complicated with physical disability and physical diseases， the patients were divided into control group(32 cases， no) and observation group(33 cases， yes). The self-made scale was used to investigate the basic data and social support of both groups. After 2 months of conventional treatment， BPRS was used to assess the efficacy of the two groups. Results The social support system in the observation group was lacking， and the difference was significant compared with the control group. The difference was statistically significant(P<0.05)； the total score of BPRS in the observation group was(82.34±8.75)， which was statistically higher compared with that in the control group(74.12±7.58)， and the difference between groups was statistically significant(P<0.05). Conclusion The clinical characteristics of wandering patients with mental illness complicated with physical diseases are mainly poor social support system， and the efficacy is not ideal after treatment. Therefore， the relevant departments must pay attention to it.
[Key words] Wandering patients with mental illness； Physical diseases； Physical disability； Clinical characteristics
流浪精神病患者部分是由于毀物、自伤、伤人、四处流浪、影响社会秩序、扰乱交通、社会治安，由群众报警后，警务人员怀疑为精神障碍或者异常并送至医院的患者，大部分患者为救助站送至入院[1-3]。本文选取我院收治流浪精神病患者65例为对象进行研究，根据其是否合并发肢体残疾和躯体疾病分为对照组(32例，无)与观察组(33例，是)，通过采用自制量表以及BPRS评分量表，对两组基础资料、社会支持、治疗效果等情况进行了调查分析，现报道如下。
1 资料与方法
1.1 一般资料
选取我院2016年1月～2017年1月收治流浪精神病患者65例进行研究，根据其是否合并发肢体残疾和躯体疾病分为对照组(32例，无)与观察组(33例，是)。所有患者均满足CCMD-3诊断标准[4]，其中酒精所致精神障碍2例、情感障碍2例、精神发育滞10例、癫痫性精神障碍5例、精神分裂症46例。观察组伴有躯体疾病类型为传染病(结核腹膜炎)1例、皮肤破损及软组织损伤10例、骨折2例、妊娠1例、营养不良(贫血)5例、糖尿病7例、心血管疾病8例、肢体残疾11例。观察组患者中，21例合并有两种躯体疾病，12例既存在肢体残疾，又存在躯体疾病。而对照组患者无肢体残疾及躯体疾病。
1.2 方法
采用自制量表对两组基础资料及社会支持情况进行调查。即在患者入院时、入院后1个月、2个月、3个月时，采用护士用住院患者观察量表、自制的现状健身病检查表等，对患者基本临床特点进行观察记录，然后对观察数据进行一致性检验(r>0.85)。经2个月常规治疗后，采用BPRS评定两组疗效。, 百拇医药(肖志平)