Analysis Of Rehabilitation Status And Influencing Factors Of Schizophrenia Patients In Hubei Area

Objective : To investigate the status quo of rehabilitation of patients with schizophrenia in remission,and analyze its influencing factors,so as to provide scientific basis for the targeted intervention measures.Methods:The self-designed ‘Basic condition questionnaire' and ‘Insight and treatment attitude questionnaire',‘Mental health knowledge awareness questionnaire'were used to investigate the demographic and sociological characteristics,illness and medication status,and disease cognition of schizophrenics,The‘Mos 36-item short from health survey scale',‘Social-adaptive functioning evaluation scale',‘Social support rating scale ',‘Family care index questionnaire' were used to investigate the quality of life,the social adjustment function,the social support and family function of patients with schizophrenia,The total score and dimension score of life quality and Social-adaptive functioning score were included into the indicators of patients' current rehabilitation status for descriptive analysis.Taking the quality of life and the function of social adaptation as the dependent variables,Taking the demographic and sociological characteristics,medication status,disease cognition,family function,social support and other indicators as the independent variables.the factors affecting the recovery of patients were analyzed by single factor and multiple factors.Based on the grounded theory,this paper makes a qualitative analysis of structured interview data and discusses the factors affecting the recovery of schizophrenics.Results : A survey of 289 patients with schizophrenia showed that the comprehensive score of the physiological health dimension of the patients was71.31±26.10,of which,the physiological function was 74.33±23.22,the score of physiological function was 33.26±45.29,the score of body pain was 74.85±26.71,and the score of general health condition was 47.53±19.32;The comprehensive score of mental health dimension of the patients was 70.97±29.78,of which,the score ofenergy was 54.17±17.69,the score of social function 64.85±25.59,the score of emotional function was 35.93±46.80,and the score of mental health was58.92±16.28,Compared with the norm,the scores of each dimension of SF-36 scale of patients were lower,and the difference was statistically significant(p<0.05).The total score of the Social-adaptive functioning evaluation scale was 41.22±12.43,of which,the score of basic living ability was 4.93±2.24,the score of basic labor ability was 7.14±2.77,the score of social communication ability was 24.98±6.87,and the score of disease management ability was 4.18±2.04,Compared with the general population,the total scores and scores of each dimension of the social adjustment function scale of the patients were higher,and the difference was statistically significant(P<0.05).The optimal scale regression analysis was used to analyze the factors affecting the quality of life and social adaptation of patients,The results showed that the number of relapses,degree of stigma,adverse drug reactions,medication regularity,self-knowledge and treatment attitude,community rehabilitation management evaluation,family function and social support were the factors that affected patients' quality of life(P<0.05),and the relapse frequency,stigma degree,mental health knowledge awareness,medication regularity,self-knowledge and treatment attitude,community rehabilitation management evaluation,and social support are the factors that affect patients' social adaptation function(P<0.05).According to the results of qualitative research,the factors affecting patients' recovery included their cognition and rehabilitation attitude towards the disease(reference rate 90%),medication regularity and treatment compliance(reference rate 80%),family and community rehabilitation environment(reference rate 80%),government and social support and support(reference rate70%).Conclusions:The recovery of schizophrenic patients in remission is poor in hubei area.The factors affecting the status of patients' rehabilitation may include thenumber of relapses,degree of stigma,mental health knowledge awareness,self-knowledge and treatment attitude,medication regularity,adverse drug reactions,evaluation of community rehabilitation management,as well as family community rehabilitation environment,family function and social support.It is suggested to strengthen the health education for patients and the whole society,improve the rehabilitation system of mental health community,strengthen the functions of family care and community rehabilitation,so as to promote the rehabilitation of patients' physical and mental health and social adaptation function.